# THRIVE DENTAL ALLEN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thrive Dental and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043840069
- **Authorized official:** DR. NATHAN COUGHLIN DDS (OWNER)
- **Authorized official phone:** (323) 898-3102

## Contact information

- **Practice address:** 1010 W EXCHANGE PKWY, \#130, ALLEN, TX 75013
- **Practice address phone:** (323) 898-3102
- **Mailing address:** 5822 VICKERY BLVD, DALLAS, TX 75206-6336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 01/17/2020
- **Last updated:** 01/17/2020