| Active Dental | |
|
2240 Market Place Blvd Ste. 140 Irving TX 75063-8072 | |
| (972) 556-0600 | |
| Not Available |
| Full Name | Active Dental |
|---|---|
| Speciality | Dentist |
| Location | 2240 Market Place Blvd, Irving, Texas |
| Authorized Official Name and Position | Kalpesh Patel (DENTIST) |
| Authorized Official Contact | 9725560600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Dental 2240 Market Place Blvd Ste 120 Irving TX 75063-8075 Ph: (972) 556-0600 | Active Dental 2240 Market Place Blvd Ste. 140 Irving TX 75063-8072 Ph: (972) 556-0600 |
| NPI Number | 1386966729 |
|---|---|
| Provider Enumeration Date | 02/26/2010 |
| Last Update Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386966729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23031 (Texas) | Primary |
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