Organization
PARAGON DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HUI DDS (MEMBER)
(817) 683-7115
Entity
Organization
Contact information
Practice address
705 S CUSTER RD, SUITE 150, ALLEN, TX 75013-3107
(469) 251-2888
(469) 854-6558
Mailing address
705 S CUSTER RD, SUITE 150, ALLEN, TX 75013-3107
(469) 251-2888
(469) 854-6558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
25689
TX
1223G0001X
General Practice Dentistry
26525
TX
332BC3200X
Customized Equipment (DME)
25689
TX
332BC3200X
Customized Equipment (DME)
Primary
26525
TX
Other
Enumeration date
08/20/2012
Last updated
07/20/2015
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