Clinica Dental of Texas PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLINICA DENTAL OF TEXAS PLLC

Practice address

11411 E Northwest Hwy Ste 101
Dallas, TX 75218-1445

Phone

(972) 891-8365

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Sehwoon KimNPI 1952618555

Title

Managing Member

Phone

(972) 891-8365

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sehwoon Kim, DMD

  • General Practice Dentistry
  • Buford, GA
  • NPI 1952618555
  NPD Authorized official

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1154063121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 E NORTHWEST HWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752181445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 E NORTHWEST HWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752181445",
            "telephone_number": "972-891-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEHWOON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-891-8365"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Faye Clinger, OTR
• Clinic at C. C. Young
• Clinic at CC Young
• Clinic at Cedar Springs
• Clinica America, P.a.
• Clinica Familiar Peralta LLC
• Clinica Guadalupe Fort Worth LLC
• Clinica Guadalupe Walnut Hill LLC
• Clinica HF Buckner LLC
• Clinica HF Coit LLC

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 Apr 11, 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.