Rwigema Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RWIGEMA DENTAL PLLC

Doing business as

Fresca Dental

Practice address

10121 Lake June Rd Ste 118
Dallas, TX 75217-5345

Phone

(469) 930-2105

NPI assigned

Sep 11, 2024

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith Frost

Title

Credentialing Director

Phone

(630) 877-3520

Specialties & licenses 1

Addresses

Other names 1

• Fresca Dental Doing business as

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1568298057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 LAKE JUNE RD STE 118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752175345",
            "telephone_number": "469-930-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 LAKE JUNE RD STE 118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752175345",
            "telephone_number": "469-930-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWIGEMA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "630-877-3520"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresca Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson Jane Ruvio
• Kelly Susan Ruxer, CRNA
• Samir Ruxmohan, DO
• Pamela Ivette Ruz, OTR/L, MOT
• RWB Consultants LLC
• Jean-Paul Rwigema, DDS
• RWW Home & Community Rehab Services, Inc. (Rehab Without Walls NeuroSolutions)
• RWW Home and Community Rehab Services, Inc.
• RX Mart LLC (Safecare Pharmacy)
• RX Professionals LLC (Elite Pharmacy)

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.