Spa Dental is a Dentist in Garland, Texas. Spa Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Spa Dental is 1174698260. The last update date is 2020-08-22.
Spa Dental's current location address is 5435 North Garland Ave 125, Garland, Texas. You can contact this provider via phone number 9725307374 and fax number 9725307636. The mailing address for Spa Dental is 5435 North Garland Ave 125, Garland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spa Dental |
|---|---|
| Address | 5435 North Garland Ave 125, Garland, Texas |
| Phone Number | 9725307374 |
| Fax Number | 9725307636 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Koo M Susan |
| Credentials | DDS |
| Telephone Number | 9725307374 |
NPI Number Detail
| NPI Number | 1174698260 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5435 North Garland Ave 125 |
|---|---|
| City | Garland |
| State | Texas (TX) |
| Post Code | 75034 |
| Phone Number | 9725307374 |
| Fax Number | 9725307636 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 16975 |
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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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What is the unique 10-digit identification code assigned to Spa Dental by the Centers for Medicare & Medicaid Services?
The Spa Dental has been issued the NPI (National Provider Identifier) 1174698260, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Spa Dental is located?
The Spa Dental is situated at the following address: 5435 North Garland Ave 125, Garland, TX, 75034.
What is Spa Dental's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Spa Dental is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Spa Dental receive its 1174698260 assignment from the Centers for Medicare & Medicaid Services?
The Spa Dental was assigned its 1174698260 on 2006-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Spa Dental most recently updated or revised?
The information pertaining to Spa Dental, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.