Individual provider Active NPI

P. Lynette Page, D. D. S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1477700532
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24175 Issued in TX
Practice address
5481 Blair Rd
Dallas, TX 75231-4101
Phone
(214) 692-7499
Fax
(214) 361-4145
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24175 TX Primary

Addresses

Primary practice location

5481 Blair Rd
Dallas, TX 75231-4101

Mailing address

5481 Blair Rd
Dallas, TX 75231-4101
Phone (214) 692-7499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617000376 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173834231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24175TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
P. Lynette Page, DDS, PLLC Current Accepting new patients

Locations

5481 Blair Rd
Dallas, TX 75231
Phone (214) 265-9408

6500 Greenville Ave
Ste 100
Dallas, TX 75206
Phone (214) 692-7499

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1477700532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 BLAIR RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314101",
            "telephone_number": "214-692-7499",
            "fax_number": "214-361-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 BLAIR RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314101",
            "telephone_number": "214-692-7499",
            "fax_number": "214-361-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "P. LYNETTE",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.