SERGE BOU MECHREK (NPI# 1366059388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366059388 |
| Entity Type | Individual |
| Full Name | SERGE BOU MECHREK |
| Practice Address |
3030 Lbj Fwy Ste 1400 Dallas TX 75234-2766 |
| Practice Telephone | 9724448888 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
36816 | TX | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3030 LBJ FWY STE 1400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75234-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902245871 | Rakhee Chawla | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2013-06-24 |
| 1487261079 | Shruti Lakhanpal | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2020-09-28 |
| 1295344844 | Hareesha Kallakunta Venkata Ss | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2020-07-29 |
| 1386252989 | Vishavpreet Sharma | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2020-07-20 |
| 1952929093 | Dhwani K Amin | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2020-07-06 |
| 1265082010 | Kaifeng Yin | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2019-09-13 |
| 1841852183 | Seok Jun Lee | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2019-07-08 |
| 1336700111 | Daniel Patrick Obelenis Ryan | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2019-06-24 |
| 1396300547 | Suzana Gjino | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2019-05-03 |
| 1952866642 | Purvi Nayak | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
| 1124597232 | Caleb Poe | Physical Therapist | 1775 Wittington Place, Ste. #175, Dallas, TX 75234 | 2018-11-19 |
| 1043790298 | Joseph M Satterfield | Physical Therapist | 1775 Wittington Place Ste. #175, Dallas, TX 75234 | 2018-08-17 |
| 1023507621 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2702 Valwood Pkwy, Farmers Branch, TX 75234 | 2018-05-09 |
| 1821593385 | Farmers Branch Primary Care LLC | Family Medicine | 13000 Josey Lane Ste 100, Farmers Branch, TX 75234 | 2018-03-27 |
| 1487159349 | Kavitha Prasad | Dentist | 3030 Lbj Freeway, Suite 1400, Dallas, TX 75234 | 2018-03-23 |
| 1841793734 | Dedicated Hospice Care LLC | Hospice Care, Community Based | 2665 Villa Creek Dr #201, Dallas, TX 75234 | 2018-03-16 |
| 1811499387 | Lumincare Physician Group, Pa | Family Medicine | 2914 Valley View Lane, Farmers Branch, TX 75234 | 2018-03-01 |
| 1972014223 | Judith Johnson | Home Health Aide | 2828 Forest Ln Ste 1143, Dallas, TX 75234 | 2017-10-13 |
| 1780101642 | Godly Hospice and Palliative Care LLC | Hospice Care, Community Based | 2735 Villa Creek Dr Ste A260, Farmers Branch, TX 75234 | 2017-08-23 |
| Find all providers in zip 75234 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658972 | Mason Dale Borth | Dentist | 7859 Walnut Hill Ln Ste 275, Dallas, TX 75230-5642 | 2019-06-19 |
| 1871156109 | Glew Pllc | Dentist | 6401 Hillcrest Ave Ste Tbd, Dallas, TX 75205-1852 | 2019-04-22 |
| 1316459365 | Pap Orthodontics Pllc | Dentist | 10909 Webb Chapel Rd Ste 121, Dallas, TX 75229-3739 | 2017-10-31 |
| 1033561014 | Bill Luu | Dentist | 8030 Spring Valley Rd, Dallas, TX 75240-3827 | 2016-07-01 |
| 1023465473 | Colby Cajero | Dentist | 9440 Garland Rd Ste 198, Dallas, TX 75218-3453 | 2016-05-16 |
| 1023482429 | Mohamed Kar-kuri | Dentist | 2525 Wycliff Ave, Suite 107, Dallas, TX 75219-2551 | 2015-11-23 |
| 1538555933 | Gayle Glenn | Dentist | 8325 Walnut Hill Ln Ste 111, Dallas, TX 75231-4212 | 2015-04-13 |
| 1255768743 | Da Lee | Dentist | 6401 Hillcrest Ave Ste 200, Dallas, TX 75205-1852 | 2013-09-30 |
| 1134562010 | Bamf Dental Pllc Dunkz Dental Pllc Mbr | Dentist | 7001 Preston Rd Ste 103, Dallas, TX 75205-1190 | 2013-04-10 |
| 1164782405 | Access Orthodontics of Hampton Pa | Dentist | 322 S Hampton Rd, Dallas, TX 75208-5617 | 2012-05-21 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.