Provider Demographics
NPI:1982456430
Name:AFFORDABLE DENTIST NEAR ME OF ARLINGTON PLLC
Entity Type:Organization
Organization Name:AFFORDABLE DENTIST NEAR ME OF ARLINGTON PLLC
Other - Org Name:AFFORDABLE DENTIST NEAR ME OF ARLINGTON PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIAL SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAQIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-656-1215
Mailing Address - Street 1:3610 S COOPER ST STE 112
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3401
Mailing Address - Country:US
Mailing Address - Phone:817-466-1500
Mailing Address - Fax:877-230-8349
Practice Address - Street 1:3610 S COOPER ST STE 112
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3401
Practice Address - Country:US
Practice Address - Phone:817-466-1500
Practice Address - Fax:877-230-8349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty