Lorenda L. Grace
Dentist Anesthesiologist
6565 N Macarthur Blvd 225
Irving
, Texas 75039-2461
Lorenda L. Grace
Dentist Anesthesiologist
6565 N Macarthur Blvd 225
Irving
, Texas 75039-2461
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About
Features
Specialties
- Dentist Anesthesiologist
Languages spoken
- English
Location
First Address
- Lorenda L. Grace
- Po Box 631606
- Irving, TX
- Zip : 75063-0025
- Phone :
Second Address
- Lorenda L. Grace
- 6565 N Macarthur Blvd 225
- Irving, TX
- Zip : 75039-2461
- Phone : (214) 677-8542
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0004X | Dentist Anesthesiologist | 17194 | TX |
National Provider Identifier
| NPI | 1184830077 |
|---|---|
| Provider Name | Lorenda L. Grace |
| First Address | Irving, TX 75063-0025 |
| Second Address | Irving, TX 75039-2461 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2007 |
| Last Update Date | 20/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20-3906587 | TAX ID (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.