Provider Demographics
NPI:1528294394
Name:OAK DENTAL FRISCO PLLC
Entity type:Organization
Organization Name:OAK DENTAL FRISCO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:NORMAN RALPH
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-800-2312
Mailing Address - Street 1:6311 HILLCREST RD
Mailing Address - Street 2:STE 200
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8798
Mailing Address - Country:US
Mailing Address - Phone:972-335-4145
Mailing Address - Fax:972-335-1019
Practice Address - Street 1:6311 HILLCREST RD
Practice Address - Street 2:STE 200
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8798
Practice Address - Country:US
Practice Address - Phone:972-335-4145
Practice Address - Fax:972-335-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-06
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX245791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty