Active NPI
Great Southwest Family Dental Professional Association
- General Practice Dentistry
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 220394
- Legal business name
- GREAT SOUTHWEST FAMILY DENTAL PROFESSIONAL ASSOCIATION
- Practice address
- 2308 Bardin Rd
Grand Prairie, TX 75052-3856 - Phone
- (972) 660-8457
- NPI assigned
- May 11, 2010
- 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
- Chris H Truong
- Title
- President
- Phone
- (972) 660-8457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 220394 | TX | Primary |
Addresses
Primary practice location
2308 Bardin Rd
Grand Prairie, TX 75052-3856
Mailing address
2308 Bardin Rd
Grand Prairie, TX 75052-3856
Phone (972) 660-8457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Great Southwest Family Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Grand Prairie, TX
- NPI 1306111711
Locations
2308 Bardin Rd
Grand Prairie, TX 75052
Phone (972) 660-8457
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1386962660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 BARDIN RD",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523856",
"telephone_number": "972-660-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 BARDIN RD",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523856",
"telephone_number": "972-660-8457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT SOUTHWEST FAMILY DENTAL PROFESSIONAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-660-8457"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "220394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.