TCID PLLC (NPI# 1649802984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649802984 |
| Entity Type | Organization |
| Organization Name | TCID PLLC |
| Practice Address |
1628 W Hebron Pkwy Ste 108 Carrollton TX 75010-6311 |
| Practice Telephone | 9724920002 |
| Mailing Telephone | 9724920002 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | DR. INSOO SONG (DENTIST) |
| Authorized Official Telephone | 9724920002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | 35046 | 01 |
| Other Name | Type Code |
|---|---|
| Carrollton Dentistry | Doing Business As Name - Organization |
| Street Address |
1628 W HEBRON PKWY STE 108 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583113 | Insoo Song | Dentist | 1628 W Hebron Pkwy Ste 108, Carrollton, TX 75010-6311 | 2018-06-28 |
| 1386209435 | Carrollton Top Dental Pllc | Dentist | 1628 W Hebron Pkwy Ste 108, Carrollton, TX 75010-6311 | 2019-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| 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 |
|---|---|---|---|---|
| 1770192692 | Michelle Nguyen | Dentist | 1457 Summerhill Dr, Carrollton, TX 75007-6049 | 2020-07-27 |
| 1629611587 | Vincent Dirusso | Dentist | 1801 Crest View Dr, Carrollton, TX 75006-1609 | 2019-10-23 |
| 1508411844 | Steven Christopher Renas | Dentist | 1930 E Rosemeade Pkwy Ste 103, Carrollton, TX 75007-2467 | 2019-08-05 |
| 1912483942 | Asana Family Dental Pllc | Dentist | 1235 S Josey Ln Ste 534, Carrollton, TX 75006-7684 | 2018-07-12 |
| 1578059002 | Richard Sung | Dentist | 1204 N Josey Ln, Carrollton, TX 75006-6117 | 2018-07-09 |
| 1811423379 | Kvillage Dental | Dentist | 1028 Mac Arthur Dr, #100, Carrollton, TX 75007 | 2017-05-03 |
| 1710331582 | Dowell Dental Third Street LLC | Dentist | 25 3rd St Ne, Carrollton, OH 44615-1205 | 2016-04-19 |
| 1891166989 | Alexander Beavers | Dentist | 403 Locust St, Carrollton, IL 62016-1304 | 2015-10-14 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1740600931 | Ayesha Noor Malik | Dentist | 2904 Old Denton Rd, Suite 112, Carrollton, TX 75007 | 2014-04-26 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on TCID PLLC.
| 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.