Organization Active NPI

SBL Dental

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1427639293
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SBL DENTAL
Practice address
4347 W Northwest Hwy Ste 128
Dallas, TX 75220-3866
Phone
(214) 366-4646
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Dr. Amanda Jane Lewis, DMDNPI 1427091842
Title
Member
Phone
(214) 366-4646

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4347 W Northwest Hwy Ste 128
Dallas, TX 75220-3866

Mailing address

4347 W Northwest Hwy Ste 128
Dallas, TX 75220-3866
Phone (214) 366-4646

National Provider Directory

National Provider Directory

Locations

4347 W Northwest Hwy
Ste 128
Dallas, TX 75220
Phone (214) 366-4646

Practitioners & affiliated clinicians

Practitioners 2

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": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1427639293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 W NORTHWEST HWY STE 128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752203866",
            "telephone_number": "214-366-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 W NORTHWEST HWY STE 128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752203866",
            "telephone_number": "214-366-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-366-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.