# THRIVE DENTAL SACHSE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023612918
- **Authorized official:** DR. NATHAN COUGHLIN DDS (OWNER)
- **Authorized official phone:** (323) 898-3102

## Contact information

- **Practice address:** 7900 WOODBRIDGE PKWY, \#200, SACHSE, TX 75048
- **Practice address phone:** (323) 898-3102
- **Mailing address:** 5822 VICKERY BLVD, DALLAS, TX 75206-6336
- **Mailing address phone:** (323) 898-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 11/23/2020