Organization Active NPI

Dentists of Walnut Grove, PC

Doing business as Dentists of Walnut Grove

  • General Practice Dentistry
  • Midlothian, TX
National Provider Identifier
1063326783
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTS OF WALNUT GROVE, PC
Doing business as
Dentists of Walnut Grove
Practice address
4271 FM 1387 Ste 100
Midlothian, TX 76065-7634
Phone
(469) 941-2081
Fax
(469) 537-7326
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Rema Abdeljalil, DDS
Title
Owner
Phone
(469) 941-2081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4271 FM 1387 Ste 100
Midlothian, TX 76065-7634

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • Dentists of Walnut Grove Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1063326783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 FM 1387 STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657634",
            "telephone_number": "469-941-2081",
            "fax_number": "469-537-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF WALNUT GROVE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "ABDELJALIL",
        "authorized_official_first_name": "REMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-941-2081",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Walnut Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.