Provider Demographics
NPI:1578667820
Name:ARLINGTON IMPLANT INSTITUTE
Entity type:Organization
Organization Name:ARLINGTON IMPLANT INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR DAN BIDA DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:BIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-274-8223
Mailing Address - Street 1:912 WEST RANDOL MILL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012
Mailing Address - Country:US
Mailing Address - Phone:817-274-8223
Mailing Address - Fax:817-276-9243
Practice Address - Street 1:912 WEST RANDOL MILL RD
Practice Address - Street 2:SUITE C
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012
Practice Address - Country:US
Practice Address - Phone:817-274-8223
Practice Address - Fax:817-276-9243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty