Provider Demographics
NPI:1386152908
Name:ARCHWAY DENTAL PLLC
Entity type:Organization
Organization Name:ARCHWAY DENTAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVALBEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:PARMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-919-9151
Mailing Address - Street 1:11011 PERSHING LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0617
Mailing Address - Country:US
Mailing Address - Phone:469-919-9151
Mailing Address - Fax:
Practice Address - Street 1:2751 S STONEBRIDGE DR STE 3
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-1215
Practice Address - Country:US
Practice Address - Phone:972-972-4646
Practice Address - Fax:972-972-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30782261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental