# AIRLINE DRIVE FAMILY DENTAL, PLLC

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

## Provider details

- **NPI number:** 1427718857
- **Authorized official:** EVERETT CHAD EVANS DDS (OWNER/DENTIST)
- **Authorized official phone:** (940) 220-7833

## Contact information

- **Practice address:** 7413 AIRLINE DR STE 200, HOUSTON, TX 77076-1038
- **Practice address phone:** (940) 220-7833
- **Mailing address:** 5800 N I 35 STE 205, DENTON, TX 76207-1438
- **Mailing address phone:** (940) 220-7833
- **Mailing address fax:** (855) 731-5147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2021
- **Last updated:** 07/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 433415301 | — | TX |