Organization Active NPI

Dallas Dental Associates - Woodlake PLLC

  • Dental Clinic/Center
  • Little Elm, TX
National Provider Identifier
1417423674
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DALLAS DENTAL ASSOCIATES - WOODLAKE PLLC
Practice address
2721 Little Elm Pkwy Ste 105
Little Elm, TX 75068-6685
Phone
(972) 314-2600
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Steven J. Wingfield, DMD
Title
Owner
Phone
(678) 906-1769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2721 Little Elm Pkwy Ste 105
Little Elm, TX 75068-6685

Mailing address

2721 Little Elm Pkwy Ste 105
Little Elm, TX 75068-6685
Phone (972) 314-2600

Other names 1

  • Woodlake Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2721 Little Elm Pkwy
Ste 105
Little Elm, TX 75068
Phone (972) 314-2600

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1417423674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 LITTLE ELM PKWY STE 105",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686685",
            "telephone_number": "972-314-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 LITTLE ELM PKWY STE 105",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686685",
            "telephone_number": "972-314-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DENTAL ASSOCIATES - WOODLAKE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "WINGFIELD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-906-1769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.