Provider Demographics
NPI:1750920260
Name:OPEN MARKET DENTAL, PLLC
Entity type:Organization
Organization Name:OPEN MARKET DENTAL, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:972-905-1287
Mailing Address - Street 1:909 W SPRING CREEK PKWY STE 490
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4477
Mailing Address - Country:US
Mailing Address - Phone:972-905-1287
Mailing Address - Fax:
Practice Address - Street 1:909 W SPRING CREEK PKWY STE 490
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4477
Practice Address - Country:US
Practice Address - Phone:972-905-1287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental