Organization Active NPI

Premiere Dentistry P.C.

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1164555637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19108 Issued in TX
Legal business name
PREMIERE DENTISTRY P.C.
Practice address
3443 W Campbell Rd
#650
Garland, TX 75044-8145
Phone
(972) 496-7777
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ngoctuyen Nguyen, DDS
Title
President
Phone
(972) 496-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19108 TX Primary

Addresses

Primary practice location

3443 W Campbell Rd
#650
Garland, TX 75044-8145

Mailing address

3443 W Campbell Rd
#650
Garland, TX 75044-8145
Phone (972) 496-7777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164555637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 W CAMPBELL RD",
            "address_2": "#650",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750448145",
            "telephone_number": "972-496-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 W CAMPBELL RD",
            "address_2": "#650",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750448145",
            "telephone_number": "972-496-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NGOCTUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-496-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.