Tiudmd,pllc

NPI Registration Record

Provider / Organization	NPI	Date Certified
TIUDMD,PLLC	1861107823	2023-01-13

The organization Tiudmd,pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1861107823. Registration indicates Tiudmd,pllc is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )

Other Names:

FRISCO MODERN DENTISTRY

Entity Type	Organization

Provider Organization	TIUDMD,PLLC
Practice Office Address	7151 PRESTON RD STE 431D FRISCO, TX US
Practice Office Telephone	9722929088
Practice Office Fax	9722929884
Mailing Address	7151 PRESTON RD STE 431D FRISCO, TX 750345859 US
Business Telephone	9722929088
Business Fax	9722929884
Authorized Official	CHRISTOPHER TIU, OWNER 9722929088

HPT Codes

Code	Practice	License No State
1223G0001X PRIMARY	Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist
193200000X MULT		Group Code

OPI Codes

447833101	MEDICAID	TX
14439187	OTHER	TX	CAQH

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