SH DENTAL PLLC (NPI# 1780190918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780190918 |
| Entity Type | Organization |
| Organization Name | SH DENTAL PLLC |
| Other Organization Name | MATLOCK FAMILY DENTAL |
| Practice Address |
740 Sw Green Oaks Blvd Ste 201 Arlington TX 76017-6257 |
| Mailing Address |
2433 Hunters Blvd Lewisville TX 75056-4749 |
| Practice Telephone | 7143092320 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-02-08 |
| Authorized Official Name | DR. SEUNG SONG (OWNER) |
| Authorized Official Telephone | 7143092320 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
29544 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Matlock Family Dental | Doing Business As Name - Organization |
| Street Address |
740 SW GREEN OAKS BLVD STE 201 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346708484 | Crown Dentistry | Clinic/Center | 1006 N Bowen Rd Ste 101, Arlington, TX 76012-2868 | 2019-03-07 |
| 1487110813 | Kevin Scotti Dds | Clinic/Center | 3801 Fairfax Dr Ste 70, Arlington, VA 22203-1762 | 2019-02-11 |
| 1700350055 | Pioneer Dentistry of The Woodlands, Pllc | Clinic/Center | 965 W Lamar Blvd Ste 100, Arlington, TX 76012-2053 | 2019-01-18 |
| 1093216871 | Ah Dentistry of Arlington | Clinic/Center | 430 E Lamar Blvd Ste 102, Arlington, TX 76011-3692 | 2018-02-27 |
| 1912415647 | Mai T Phan, Dds | Clinic/Center | 4001 9th St N Ste 218, Arlington, VA 22203-1900 | 2018-01-16 |
| 1265954150 | Supreme Dental Care Pllc | Clinic/Center | 5100 W Sublett Rd Ste 100, Arlington, TX 76001-4860 | 2017-07-12 |
| 1588017198 | Kevin A Harrison, Dds, Ps | Clinic/Center | 16410 Smokey Point Blvd Ste 305, Arlington, WA 98223-8415 | 2016-07-19 |
| 1508226390 | Lone Star Dental Center | Clinic/Center | 3350 S Watson Rd, Arlington, TX 76014-2803 | 2016-03-07 |
| 1013380476 | Mint Dentistry, Pllc | Clinic/Center | 900 E Copeland Rd, #210, Arlington, TX 76011-1390 | 2015-11-07 |
| 1093184970 | Jigmey L. Dorjee, Dds, Pllc | Clinic/Center | 6011 Wilson Blvd, Arlington, VA 22205-1503 | 2015-09-21 |
| Find all providers in ARLINGTON | ||||
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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.