PGP PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PGP PLLC

Doing business as

Omni Dental PLLC
Prime Dental Grand Prairie

Practice address

2580 W Camp Wisdom Rd Ste 300
Grand Prairie, TX 75052-3091

Phone

(972) 408-0480

Fax

(972) 525-0971

NPI assigned

Oct 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David Marcus Chei, DMD

Title

President

Phone

(214) 326-9077

Specialties & licenses 1

Addresses

Other names 2

• Omni Dental PLLC Doing business as
• Prime Dental Grand Prairie Doing business as

Locations

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1063019081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 W CAMP WISDOM RD STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523091",
            "telephone_number": "972-408-0480",
            "fax_number": "972-525-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 W CAMP WISDOM RD STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523091",
            "telephone_number": "972-408-0480",
            "fax_number": "972-525-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "CHEI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-326-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Dental Grand Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perla Orthodontics PC
• Casey Renee Perry-Sabti, LCSW
• Mahalia Perry, BCBA
• James David Peters, D.O.
• Patrice Leeann Pezzullo, RN
• Cuong Duy Pham, OD
• Jocelyn Pham
• Nicole Kieu Khanh Pham, OTR
• Son Pham
• Jennifer Phan, R.PH.

• Dental Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.