Trophy Dental Pa is a Dentist in Trophy Club, Texas. Trophy Dental Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Trophy Dental Pa is 1790880904. The last update date is 2020-08-22.
Trophy Dental Pa's current location address is 301 Trophy Lake Dr, Trophy Club, Texas. You can contact this provider via phone number 8178540360 and fax number 8174909029. The mailing address for Trophy Dental Pa is 301 Trophy Lake Dr, Trophy Club, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Trophy Dental Pa |
|---|---|
| Address | 301 Trophy Lake Dr, Trophy Club, Texas |
| Phone Number | 8178540360 |
| Fax Number | 8174909029 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PART OWNER |
|---|---|
| Authorized Official Name | Sudbrook Nguyen N Debbie |
| Credentials | DDS |
| Telephone Number | 8178540360 |
NPI Number Detail
| NPI Number | 1790880904 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 301 Trophy Lake Dr |
|---|---|
| City | Trophy Club |
| State | Texas (TX) |
| Post Code | 76262 |
| Phone Number | 8178540360 |
| Fax Number | 8174909029 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 18141 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Trophy Dental Pa's unique identification number?
The Trophy Dental Pa has been assigned the NPI (National Provider Identifier) Number 1790880904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Trophy Dental Pa is physically located?
The Trophy Dental Pa is physically situated at the following address: 301 Trophy Lake Dr, Trophy Club, TX, 76262.
What is the Trophy Dental Pa's specialty and taxonomy code?
The Trophy Dental Pa's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790880904 to Trophy Dental Pa?
The Centers for Medicare & Medicaid Services originally issued the 1790880904 to Trophy Dental Pa on 2006-09-13.
When was the Trophy Dental Pa's information last updated?
The Trophy Dental Pa's information was last updated on 2020-08-22.