Provider Demographics
NPI:1730423583
Name:DMC DENTAL PLLC
Entity type:Organization
Organization Name:DMC DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MARCUS
Authorized Official - Last Name:CHEI
Authorized Official - Suffix:
Authorized Official - Credentials:DND
Authorized Official - Phone:972-931-7114
Mailing Address - Street 1:7120 CAMPBELL RD STE 109
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1567
Mailing Address - Country:US
Mailing Address - Phone:972-931-7114
Mailing Address - Fax:972-931-5575
Practice Address - Street 1:7120 CAMPBELL RD STE 109
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1567
Practice Address - Country:US
Practice Address - Phone:972-931-7114
Practice Address - Fax:972-931-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-18
Last Update Date:2012-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27974122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty