CPT Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CPT DENTAL PLLC

Practice address

3460 W Walnut St Ste 600
Garland, TX 75042-7118

Phone

(972) 276-6400

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Larry Tam, DDSNPI 1386083913

Title

Managing Member

Phone

(972) 276-6400

Specialties & licenses 2

Addresses

Other names 1

• Jupiter Smiles Doing business as

Practitioners 1

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

• Larry Tam, D.D.S

  • Dentist
  • Garland, TX
  • NPI 1386083913
  NPD Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104349992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 W WALNUT ST STE 600",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427118",
            "telephone_number": "972-276-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 W WALNUT ST STE 600",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427118",
            "telephone_number": "972-276-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-276-6400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jupiter Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Covenant Smiles Pediatric Dentistry
• Beth Cowart
• Andrew James Cox
• Deborah S Cox, LPC
• Sheryl Lou Cox, PT
• Craig R Baginski, DDS Inc
• Robyn Craig, RN, MS, FNP-C
• Crest Family Dental, PLLC
• Crest Healthcare Services Inc
• Cris Healthcare Services

• General Practice Dentistry in Garland, TX
• Providers in Garland, TX by specialty
• General Practice Dentistry in Texas

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