Northshore Family Dental PLLC
Clinic/Center, Dental in Flower Mound, TX. Organization (NPI-2).
NPI number1821910399
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1821910399
- Entity type
- Organization (NPI-2)
- Legal business name
- Northshore Family Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1901 Long Prairie Rd Ste 320Flower Mound, TX 75022-4226
Phone 714-388-8016
Mailing address
1310 Barrington DrCoppell, TX 75019-3765
Phone 714-388-8016
Authorized official
Jihee Hong
Dentist
9724713045
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