Wylie Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WYLIE DENTAL GROUP PLLC

Doing business as

Texas Endodontic Center

Practice address

600 Cooper Dr Ste 140
Wylie, TX 75098-3969

Phone

(646) 662-3105

NPI assigned

Jun 17, 2020

Last updated

Jun 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Xu, DDSNPI 1871629949

Title

Memeber Manager

Phone

(646) 662-3105

Specialties & licenses 1

Addresses

Other names 1

• Texas Endodontic Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Yujun Xu, D.D.S.

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1871629949
  Authorized official Same address or phone

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1073139937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COOPER DR STE 140",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983969",
            "telephone_number": "646-662-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COOPER DR STE 140",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983969",
            "telephone_number": "646-662-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLIE DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEMEBER MANAGER",
        "authorized_official_telephone_number": "646-662-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Endodontic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Ilene Wren
• Wright 2 You Transit, L.L.C
• Roderick Wright I
• Wylie Community Counseling - PLLC
• Wylie Counseling Associates, PLLC
• Wylie Ep PLLC
• Wylie ER, LLC (Wylie ER)
• Wylie Fire-Rescue
• Wylie Independent School District
• Wylie Medical Center (First Choice Emergency Room)

• Dentist in Wylie, TX
• Providers in Wylie, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.