IVODENT GROUP PLLC (NPI# 1093119331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093119331 |
| Entity Type | Organization |
| Organization Name | IVODENT GROUP PLLC |
| Other Organization Name | LEGACY PARK DENTAL |
| Practice Address |
1001 Ne Green Oaks Blvd 129 Arlington TX 76006-2318 |
| Practice Telephone | 8177894480 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | JACKI DANG (PRACTICE MANAGER) |
| Authorized Official Telephone | 8177033791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Legacy Park Dental | Doing Business As Name - Organization |
| Street Address |
1001 NE GREEN OAKS BLVD 129 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76006-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
| 1184288169 | Door of Hope Counseling & Education | Counselor | 1201 North Watson Road, Suite 177, Arlington, TX 76006 | 2019-04-25 |
| 1851890081 | National Logistics LLC | Non-emergency Medical Transport (VAN) | 2715 Golden Creek Lane, Arlington, TX 76006 | 2018-02-02 |
| 1700396033 | Katrina Blakely | Registered Nurse | 2533 Thomason Circle Apt 170, Arlington, TX 76006 | 2017-09-29 |
| 1033635636 | Genxmed LLC | Durable Medical Equipment & Medical Supplies | 2221 E Lamar, Suite 900, Arlington, TX 76006 | 2017-08-16 |
| 1225558521 | Jessica Joanne Salas-figueroa | Specialist/Technologist | 36 Los Robles St, Arlington, TX 76006 | 2017-06-27 |
| 1851771372 | Donald Thomas Jr. | Pharmacist | 1221 Corporate Dr, Arlington, TX 76006 | 2015-06-01 |
| 1083093074 | Jerry Moore | Pharmacist | 1221 Corporate Drive East, Arlington, TX 76006 | 2015-05-22 |
| 1104212794 | Aac Dallas Outpatient Center, LLC | Clinic/Center | 2301 Avenue J, Arlington, TX 76006 | 2015-04-09 |
| 1982094785 | Mathias Ngwa | Psychologist | 1201 N Watson Rd Ste 228, Arlington, TX 76006 | 2015-01-31 |
| Find all providers in zip 76006 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854718 | Barbara A Lawnicki Dmd PC | Dentist | 1068 Massachusetts Ave, Arlington, MA 02476-4311 | 2020-09-03 |
| 1700499720 | Kathy Nguyen | Dentist | 4701 S Cooper St Ste 103, Arlington, TX 76017-5904 | 2020-08-28 |
| 1932718087 | Jenny K Tran | Dentist | 1250 E Pioneer Pkwy Ste 100, Arlington, TX 76010-6422 | 2020-07-24 |
| 1518575851 | Reza Tahernia & Associates Pllc | Dentist | 1901 N Moore St Ste 501, Arlington, VA 22209-1700 | 2020-07-22 |
| 1417591587 | Ace Dental Studio Pllc | Dentist | 3100 Matlock Rd Ste 101, Arlington, TX 76015-2993 | 2019-11-01 |
| 1639724461 | Crystal Smile, Pllc | Dentist | 2611 Jefferson Davis Hwy Ste 200, Arlington, VA 22202-4043 | 2019-08-08 |
| 1659933786 | Mayra Karen Jackson | Dentist | 6320 Us 287 Hwy Ste 128, Arlington, TX 76001-2868 | 2019-06-28 |
| 1508426545 | John A Cusumano | Dentist | 4350 N Fairfax Dr #135, 4350 N Fairfax Dr Suite 135, Arlington, VA 22203-1695 | 2019-06-20 |
| 1316507601 | Deborah Heylim Chung | Dentist | 3565 Lee Hwy # S3b, Arlington, VA 22207-3716 | 2019-06-18 |
| 1477038800 | Min Sung Kang | Dentist | 3565 Lee Hwy Ste S3b, Arlington, VA 22207-3716 | 2018-10-02 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.