TK Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TK DENTAL PLLC

Practice address

1101 W Centerville Rd Ste 200
Garland, TX 75041-5917

Phone

(469) 309-1670

NPI assigned

Apr 5, 2024

Organization subpart

No

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

Authorized official

Name

Omar Lara

Title

Manager

Phone

(469) 309-1670

Specialties & licenses 1

Addresses

Other names 1

• Vida Family Dentistry Doing business as

Locations

Practitioners 2

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

• Tiffany Lan Pham

  • Dentist
  • Lewisville, TX
  • NPI 1619460193
  NPD
• Rajvir Singh

  • Dentist
  • Dallas, TX
  • NPI 1760041347

  General Practice

  NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1295587780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 HUNTERSRIDGE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635697",
            "telephone_number": "469-309-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W CENTERVILLE RD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415917",
            "telephone_number": "469-309-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-309-1670"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Lynn Tisser, MS, ED EIS
• Titan Spine, PLLC
• Titanium Counseling PLLC
• Zachary Tittle
• Rachna Tiwari, DPM
• Vincent Viet Quoc To, DDS, MS
• Together We Heal LLC
• Togetherness Home Health Care,LLC
• Lakisha Tolbert
• Jessica Marie Tolentino, DC

• General Practice Dentistry in Garland, TX
• Providers in Garland, 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 5, 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.