# IDEAL DENTAL WESLEY CHAPEL PLLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952067811
- **Authorized official:** MATTHEW DOAN DMD (OWNER)
- **Authorized official phone:** (972) 331-8079

## Contact information

- **Practice address:** 25906 SIERRA CENTER BLVD, LUTZ, FL 33559-7609
- **Practice address phone:** (813) 359-0319
- **Practice address fax:** (813) 946-1679
- **Mailing address:** PO BOX 840925, DALLAS, TX 75284-0925
- **Mailing address phone:** (972) 361-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2021
- **Last updated:** 05/16/2023