Promise Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PROMISE DENTAL PLLC

Doing business as

Fresh Dental

Practice address

16631 Coit Rd Ste 114
Dallas, TX 75248-1795

Phone

(214) 484-5978

Fax

(214) 484-6274

NPI assigned

Feb 27, 2023

Last updated

Feb 27, 2023By 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

Tae You, DDSNPI 1003362062

Title

Owner

Phone

(415) 317-3322

Specialties & licenses 1

Addresses

Other names 1

• Fresh Dental Doing business as

Locations

Practitioners 3

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.

• Tae Eun You, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1003362062
  NPD Authorized official
• Amber Vickers Guirguis, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1376854760
  NPD (past)
• Lorena Castro Campos Herrera, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1952894354
  NPD (past)

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1184323446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 WALDEN DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715065",
            "telephone_number": "415-317-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16631 COIT RD STE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481795",
            "telephone_number": "214-484-5978",
            "fax_number": "214-484-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-25",
        "status": "A",
        "authorized_official_last_name": "YOU",
        "authorized_official_first_name": "TAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-317-3322",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prometheus Housecalls LLC
• Prometheus Services
• Prominent Anesthesia Consultants
• Prominent Hospice LLC
• Promise Care, LLC
• Promise Homehealth Inc.
• Promise Hospital of Dallas Inc.
• Promising Hands LLC
• Prompt Care Internal Medicine PA
• Proniles

• Dental Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.