Active NPI
El Dorado Dental PLLC
- Dentist
- Frisco, TX
National Provider Identifier
1386142602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- EL DORADO DENTAL PLLC
- Practice address
- 4685 Eldorado Pkwy
Frisco, TX 75033-0288 - Phone
- (214) 396-3500
- NPI assigned
- Feb 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Rocha
- Title
- Payer Enrollment Manager
- Phone
- (972) 869-3789
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| General Practice Dentistry | 1223G0001X |
Addresses
Primary practice location
4685 Eldorado Pkwy
Frisco, TX 75033-0288
Mailing address
PO Box 734753
Dallas, TX 75373-4753
Phone (214) 396-3500
National Provider Directory
National Provider DirectoryLocations
4685 Eldorado Pkwy
Frisco, TX 75033
Phone (214) 396-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1386142602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734753",
"city": "DALLAS",
"state": "TX",
"postal_code": "753734753",
"telephone_number": "214-396-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4685 ELDORADO PKWY",
"city": "FRISCO",
"state": "TX",
"postal_code": "750330288",
"telephone_number": "214-396-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL DORADO DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-01",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A",
"authorized_official_last_name": "ROCHA",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "PAYER ENROLLMENT MANAGER",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.