Provider Demographics
NPI:1336956622
Name:PRESTON FAMILY DENTISTRY PLLC
Entity type:Organization
Organization Name:PRESTON FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:IRANMEHR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-447-9707
Mailing Address - Street 1:17000 PRESTON RD STE 170
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1233
Mailing Address - Country:US
Mailing Address - Phone:972-447-9707
Mailing Address - Fax:972-447-9707
Practice Address - Street 1:17000 PRESTON RD STE 170
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1233
Practice Address - Country:US
Practice Address - Phone:972-447-9707
Practice Address - Fax:972-447-9707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental