Dazzle Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAZZLE FAMILY DENTAL PLLC

Practice address

245 E Grauwyler Rd Ste 109
Irving, TX 75061-2635

Phone

(214) 596-9477

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Khaled Shalaby

Title

Owner

Phone

(332) 237-8104

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Landon Long Nguyen, DDS

  • General Practice Dentistry
  • Irving, TX
  • NPI 1740702075
  NPD
• Li-Ying Huang, DDS

  • Dentist
  • Frisco, TX
  • NPI 1932241486
  NPD (past)

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1245047703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8397 HAMILTON LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750367843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E GRAUWYLER RD STE 109",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612635",
            "telephone_number": "214-596-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZZLE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "SHALABY",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "332-237-8104"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Davis, DC, ATC
• Seth Davis, DPT
• Timberly Davis, LPC
• Robert Clay Day, MD
• Dayspring Center of the Metroplex for Counseling & Development
• DB Diagnostics Inc
• DC Dental Associates of Irving
• Dcoa Physician Associates PA
• Dcoa Physician Associates PA
• DDS One, PLLC

• General Practice Dentistry in Irving, TX
• Providers in Irving, 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 Dec 17, 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.