Organization Active NPI

Dallas Dental Associates - Lynn Creek PLLC

Doing business as Lynn Creek Family Dentistry

  • Dental Clinic/Center
  • Grand Prairie, TX
National Provider Identifier
1508332743
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 - LYNN CREEK PLLC
Doing business as
Lynn Creek Family Dentistry
Practice address
5115 Lake Ridge Pkwy Ste 140
Grand Prairie, TX 75052-3007
Phone
(972) 314-2600
Fax
(972) 314-2604
NPI assigned
Oct 15, 2018
Last updated
Oct 15, 2018By the provider in NPPES
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
Dental Clinic/Center 261QD0000X Primary
General Practice Dentistry 1223G0001X

Addresses

Primary practice location

5115 Lake Ridge Pkwy Ste 140
Grand Prairie, TX 75052-3007

Mailing address

5115 Lake Ridge Pkwy Ste 140
Grand Prairie, TX 75052-3007
Phone (972) 314-2600

Other names 1

  • Lynn Creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5115 Lake Ridge Pkwy
Ste 140
Grand Prairie, TX 75052
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": "1508332743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 LAKE RIDGE PKWY STE 140",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523007",
            "telephone_number": "972-314-2600",
            "fax_number": "972-314-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 LAKE RIDGE PKWY STE 140",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523007",
            "telephone_number": "972-314-2600",
            "fax_number": "972-314-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DENTAL ASSOCIATES - LYNN CREEK 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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynn Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.