CONTEMPORARY FACIAL AND ORAL SURGERY PLLC (NPI# 1700038163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700038163 |
Entity Type | Organization |
Organization Name | CONTEMPORARY FACIAL AND ORAL SURGERY PLLC |
Practice Address |
3443 E. Renner Rd. Suite 100 Plano TX 75074 |
Practice Telephone | 2145728633 |
Practice Fax Number | 2145728638 |
Mailing Telephone | 2145728633 |
Enumeration Date | 2008-10-16 |
Last Update Date | 2018-07-10 |
Authorized Official Name | DR. STEPHEN M CHAN (OWNER) |
Authorized Official Telephone | 2145728633 |
Authorized Official Credential | MD,DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
TX | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 198109401 | 05 | |
TX | NPI | 1235333741 | 01 |
TX | GROUP NPI | 1700038163 | 01 |
TX | 198110201 | 05 | |
TX | NPI | 1326241928 | 01 |
TX | 192748502 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4323 N Josey Ln Ste 103, Carrollton, TX 750104619 | 9723942114 | 2145728638 |
Street Address |
3443 E. RENNER RD. SUITE 100 |
City | PLANO |
State | TX |
Zip Code | 75074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
1063044113 | Q Day Walk In Clinic and Spa, LLC | Clinic/Center | 3560 East Park Blvd., Plano, TX 75074 | 2020-02-06 |
1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
1154804128 | Norte Service Providers LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2917 Duchess Trail, Plano, TX 75074 | 2018-09-14 |
1386124428 | Jakayla Nekelle Price | Occupational Therapist | 3612 Kite Landing Ln., Plano, TX 75074 | 2018-08-17 |
1568948834 | Sarah Lindsey Binion | Counselor | 101 East Park Blvd., Suite 600, Plano, TX 75074 | 2018-07-19 |
1659865327 | Tim Ford | Technician, Other | 6829 Ave K, Suite 105, Plano, TX 75074 | 2018-06-18 |
1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
Find all providers in zip 75074 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033351242 | Dr. Arthur William Fields, D.d.s.,m.s. | Dentist | 5800 Coit Rd Ste 400, Plano, TX 75023-5946 | 2009-04-02 |
1447469762 | Gilbert Tremayne Selkin | Dentist | 5030 Tennyson Pkwy Ste 200, Plano, TX 75024-3397 | 2007-05-22 |
1568541563 | Steven D. Sherry | Dentist | 5824 W Plano Pkwy Ste 101, Plano, TX 75093-4697 | 2006-11-02 |
1891755864 | Larry Roland Stewart | Dentist | 3713 W 15th St, Suite #403, Plano, TX 75075-7754 | 2006-03-24 |
1164492344 | John Michael Ray | Dentist | 5501 Independence Pkwy Ste 104, Plano, TX 75023-5469 | 2006-01-23 |
1720064132 | Phil Joe Kim | Dentist | 4865 Hedgcoxe Rd., Ste. 300, Plano, TX 75024 | 2005-12-16 |
1174515563 | Prashant Reddy | Dentist | 4020 W Park Blvd, Plano, TX 75093-3839 | 2005-08-22 |
1063412849 | Donald V Nix | Dentist | 5501 Independence Pkwy #104, Plano, TX 75023 | 2005-07-22 |
1811350614 | Dfw Facial Surgical Parnters LLC | Dentist | 5824 W Plano Pkwy Ste 101, Plano, TX 75093-4697 | 2016-03-30 |
1558756809 | Paul Youngsik Lee | Dentist | 5824 W Plano Pkwy Ste 101, Plano, TX 75093 | 2015-04-03 |
Find all providers in PLANO |
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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.