| Bl Dental & Orthodontics Pllc | |
|
2200 Los Rios Blvd Ste 100 Plano TX 75074-3478 | |
| (469) 666-3730 | |
| (469) 666-3732 |
| Full Name | Bl Dental & Orthodontics Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2200 Los Rios Blvd Ste 100, Plano, Texas |
| Authorized Official Name and Position | Mohammad Chowdhury (DENTIST) |
| Authorized Official Contact | 4696663730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bl Dental & Orthodontics Pllc 2200 Los Rios Blvd Ste 100 Plano TX 75074-3478 Ph: (469) 666-3730 | Bl Dental & Orthodontics Pllc 2200 Los Rios Blvd Ste 100 Plano TX 75074-3478 Ph: (469) 666-3730 |
| NPI Number | 1568945269 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 02/05/2019 |
| Medicare PECOS PAC ID | 4981949823 |
|---|---|
| Medicare Enrollment ID | O20181220000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568945269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| Provider Name | Mohammad M Chowdhury |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215194931 PECOS PAC ID: 4183903578 Enrollment ID: I20181220002372 |
| Provider Name | Shahin S Sultana |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205154838 PECOS PAC ID: 3375822794 Enrollment ID: I20190124002529 |
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