Celina Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CELINA DENTAL GROUP PLLC

Doing business as

Celina Endodontics

Practice address

515 S. Preston Rd
Ste 130
Celina, TX 75009

Phone

(414) 916-1539

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By 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

Manager

Phone

(646) 662-3105

Specialties & licenses 1

Addresses

Other names 1

• Celina Endodontics 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": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1164275947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LEGACY DR STE 240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243112",
            "telephone_number": "972-521-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S. PRESTON RD",
            "address_2": "STE 130",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "75009",
            "telephone_number": "414-916-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELINA DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-662-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celina Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Mae Cantrell, COTA
• Care Dominance Healthcare Service LLC
• Caring Hope LLC
• Ivy Mae Bunachita Carrillo, OTR/L
• Celina Aesthetics and Healthcare Clinic LLC
• Celina Drug Incorporated (Celina Drug)
• Celina Family Dentistry, PLLC
• Celina Medical Clinic
• Celina Pediatric Dentistry PLLC
• Celina Total Foot Care PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.