The Dentist Off Main, Pllc is a Dental Clinic in Grapevine, Texas. It is located at 1245 S. Main St., Suite 100, Grapevine, TX and its contact number is 817-527-1590. The authorized person for The Dentist Off Main, Pllc is Mr. Richard Bernard Luczak
who is Ceo of the clinic and their contact number is 817-527-1590. The primary license number for The Dentist Off Main, Pllc is 19398 (General Practice) in Texas. The Dentist Off Main, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
The Dentist Off Main, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
The Dentist Off Main, Pllc
Specialization:
General Practice Dentistry
Clinic Address:
1245 S. Main St., Suite 100, Grapevine, Texas, 76051
Phone:
817-527-1590
Fax:
940-497-3010
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Richard Bernard Luczak
Position:
Ceo
Contact Number:
817-527-1590
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for The Dentist Off Main, Pllc clinic are as mentioned below.
NPI Number:
1396184693
NPI Enumeration Date:
19 Jun, 2013
NPI Last Update On:
19 Jun, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Dentist Off Main, Pllc are as mentioned below.
Specialization
License Number
State
Status
General Practice
19398
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
870515
Other
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
The Dentist Off Main, Pllc 1245 S. Main St., Suite 100 Grapevine, Texas
Zip:
76051
Phone Number:
817-527-1590
Fax Number:
940-497-3010
Patients can reach The Dentist Off Main, Pllc at 1245 S. Main St., Suite 100, Grapevine, Texas or can call to book an appointment on 817-527-1590. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.