Las Colinas Dental Group PLLC
Dentist in Irving, TX. Organization (NPI-2).
NPI number1043665524
StatusActive
Last updated in NPPESJan 28, 2026
Details
- NPI
- 1043665524
- Entity type
- Organization (NPI-2)
- Legal business name
- Las Colinas Dental Group PLLC
- Organization subpart
- No
- Enumeration date
- May 3, 2016
- Certification date
- Jan 28, 2026
- Last updated
- Jan 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | TX | Yes |
Other names
- Las Colinas Dental Group (Doing Business As)
Practice location
3100 N. O'Connor Rd.Ste. 100
Irving, TX 75062
Phone 972-255-9000
Mailing address
15660 Dallas Pkwy Ste 950Dallas, TX 75248-3309
Phone 214-702-0721
Authorized official
Amanda Lightfoot
Authorized Representative
2147020708
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