Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
STONELAKE FAMILY DENTISTRY PLLC
Active
Organization
STONELAKE FAMILY DENTISTRY PLLC
Active
Other names
Stonelake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN PAK DDS (OWNER)
(512) 785-2680
Entity
Organization
Contact information
Practice address
14550 SH 121, STE 100, FRISCO, TX 75035
(512) 785-2680
(866) 892-0774
Mailing address
14550 SH 121, STE 100, FRISCO, TX 75035
(512) 785-2680
(866) 892-0774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073868402
NPI TYPE 1
TX
Enumeration date
07/08/2016
Last updated
07/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up