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Contact Information

1ST IMPRESSION DENTAL GROUP PLLC
3901 W GREEN OAKS BLVD
SUITE D
ARLINGTON, TX76016-2795
 Phone: 817-704-3767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 1ST IMPRESSION DENTAL GROUP PLLC

NPI Number 1558655910
LBN Legal business name 1ST IMPRESSION DENTAL GROUP PLLC
Authorized official VICTORIA TRAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2011
Last updated 06/02/2011 - About 15 years ago
Identifiers
TX License # 25243
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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