NPIMap

Organization Active NPI

Excel Dental Clinic of Lancaster, PC

  • Dentist
  • Dallas, TX
National Provider Identifier
1043531841
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EXCEL DENTAL CLINIC OF LANCASTER, PC
Practice address
3200 S Lancaster Rd Ste 183
Dallas, TX 75216-4555
Phone
(214) 375-9999
Fax
(214) 375-9997
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Quyen Tu Huynh, DDSNPI 1881829653
Title
President
Phone
(469) 655-9941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 24546 TX
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

3200 S Lancaster Rd Ste 183
Dallas, TX 75216-4555

Mailing address

4709 Ravendale Dr
Richardson, TX 75082-3838
Phone (469) 655-5221

Other identifiers 1

IdentifierTypeStateIssuer
212165901MedicaidTX

National Provider Directory

National Provider Directory

Locations

3200 S Lancaster Rd
Ste 183
Dallas, TX 75216
Phone (214) 375-9999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1043531841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 RAVENDALE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823838",
            "telephone_number": "469-655-5221",
            "fax_number": "214-375-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S LANCASTER RD STE 183",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164555",
            "telephone_number": "214-375-9999",
            "fax_number": "214-375-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTAL CLINIC OF LANCASTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_middle_name": "TU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-655-9941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24546",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212165901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.