| Ntds Plano | |
|
5949 Dallas Pkwy Plano TX 75093-7813 | |
| (469) 626-8254 | |
| (469) 383-8060 |
| Full Name | Ntds Plano |
|---|---|
| Speciality | Clinic/Center |
| Location | 5949 Dallas Pkwy, Plano, Texas |
| Authorized Official Name and Position | Daniel Choi (SOLE OWNER) |
| Authorized Official Contact | 6962682544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ntds Plano 5980 Charlestown Dr Dallas TX 75230-1706 Ph: (214) 802-8443 | Ntds Plano 5949 Dallas Pkwy Plano TX 75093-7813 Ph: (469) 626-8254 |
| NPI Number | 1588354492 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 8628418597 |
|---|---|
| Medicare Enrollment ID | O20240426000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588354492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Daniel Choi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063709848 PECOS PAC ID: 8123332244 Enrollment ID: I20240329002774 |
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