DOMINION 1 DENTAL DENTAL GROUP PLLC (NPI# 1710439815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710439815 |
| Entity Type | Organization |
| Organization Name | DOMINION 1 DENTAL DENTAL GROUP PLLC |
| Practice Address |
801 W Park Row Dr Arlington TX 76013-3904 |
| Mailing Address |
801 W Park Row Drive Arlington TX 76013 |
| Practice Telephone | 8177847888 |
| Mailing Telephone | 8177847888 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | HANAN ADEL ELSAIE (OWNER) |
| Authorized Official Telephone | 2149018319 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
19153 | TX | Ambulatory Health Care Facilities |
| Street Address |
801 W PARK ROW DR |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76013-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215074679 | Nicolas Aguilar | Physician Assistant | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2007-02-01 |
| 1225507429 | Access Dental of Park Row, Pa | Dentist | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2018-11-16 |
| 1336676980 | Uchenna Lorreta Nwedo | Nurse Practitioner | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2017-05-15 |
| 1346792041 | Dominion 1 Dental Group Pllc | Dentist | 801 W Park Row Dr, Arlington, Arlington, TX 76013-3904 | 2016-10-28 |
| 1225482789 | Yz Healthcare Pa | Clinic/Center | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2016-04-20 |
| 1417310707 | Park Cooper Medical P.a. | Clinic/Center | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2016-04-03 |
| 1790069037 | Park Dental Pllc | Dentist | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2011-10-05 |
| 1407168198 | Sooyoun Chung | Dentist | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2010-07-09 |
| 1235362468 | Mark John Mallery | Dentist | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2009-09-04 |
| 1174780423 | Parkrow Dental Services, Pllc | Dentist | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058608 | Elizabeth Ann Tufts | Occupational Therapist | 701 Buffalodr, Arlington, TX 76013 | 2020-03-17 |
| 1467087262 | Janet Kay Mcconnell | Nurse Practitioner | 3008 West Park Row, Arlington, TX 76013 | 2020-03-12 |
| 1922660281 | Debra Rockmore | Health Educator | 1148 W. Pioneer Pkwy, Arlington, TX 76013 | 2019-07-07 |
| 1164906830 | Misty Ely | Social Worker | 1615 W. Abram Street, Suite 200c, Arlington, TX 76013 | 2018-09-19 |
| 1457834194 | Queen Mercedes Bibbs | Licensed Vocational Nurse | 4046 Woodland Park Blvd, Apt 208, Arlington, TX 76013 | 2018-09-10 |
| 1487136560 | Ashtin Torrez | Specialist/Technologist | 801 Greek Row Dr., Arlington, TX 76013 | 2018-09-05 |
| 1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
| 1659876787 | Matthew Long | Specialist/Technologist | 1300 Briarwood Blvd, Arlington, TX 76013 | 2018-03-29 |
| 1407358963 | Spencer Reed Coomer | Specialist/Technologist | 1300 Briarwood Boulevard, Arlington, TX 76013 | 2018-03-01 |
| 1881132454 | Lorinda March | Speech-Language Pathologist | 1405 Lyra Lane, Arlington, TX 76013 | 2017-02-03 |
| Find all providers in zip 76013 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346708484 | Crown Dentistry | Clinic/Center | 1006 N Bowen Rd Ste 101, Arlington, TX 76012-2868 | 2019-03-07 |
| 1487110813 | Kevin Scotti Dds | Clinic/Center | 3801 Fairfax Dr Ste 70, Arlington, VA 22203-1762 | 2019-02-11 |
| 1700350055 | Pioneer Dentistry of The Woodlands, Pllc | Clinic/Center | 965 W Lamar Blvd Ste 100, Arlington, TX 76012-2053 | 2019-01-18 |
| 1093216871 | Ah Dentistry of Arlington | Clinic/Center | 430 E Lamar Blvd Ste 102, Arlington, TX 76011-3692 | 2018-02-27 |
| 1912415647 | Mai T Phan, Dds | Clinic/Center | 4001 9th St N Ste 218, Arlington, VA 22203-1900 | 2018-01-16 |
| 1780190918 | Sh Dental Pllc | Clinic/Center | 740 Sw Green Oaks Blvd Ste 201, Arlington, TX 76017-6257 | 2017-12-26 |
| 1265954150 | Supreme Dental Care Pllc | Clinic/Center | 5100 W Sublett Rd Ste 100, Arlington, TX 76001-4860 | 2017-07-12 |
| 1588017198 | Kevin A Harrison, Dds, Ps | Clinic/Center | 16410 Smokey Point Blvd Ste 305, Arlington, WA 98223-8415 | 2016-07-19 |
| 1508226390 | Lone Star Dental Center | Clinic/Center | 3350 S Watson Rd, Arlington, TX 76014-2803 | 2016-03-07 |
| 1013380476 | Mint Dentistry, Pllc | Clinic/Center | 900 E Copeland Rd, #210, Arlington, TX 76011-1390 | 2015-11-07 |
| 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.