Organization Active NPI

Absolute Smile Duncanville PLLC

  • Dental Clinic/Center
  • Duncanville, TX
National Provider Identifier
1568982429
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22329 Issued in TX
Legal business name
ABSOLUTE SMILE DUNCANVILLE PLLC
Practice address
1459 Acton Ave
Duncanville, TX 75137-3338
Phone
(972) 896-9386
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Cecile Nguyen
Title
Owner
Phone
(972) 896-9386

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Dental Clinic/Center 261QD0000X 22329 TX Primary

Addresses

Primary practice location

1459 Acton Ave
Duncanville, TX 75137-3338

Mailing address

5729 Lebanon Rd Ste 144268
Frisco, TX 75034-7260
Phone (972) 896-9386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1568982429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD STE 144268",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347260",
            "telephone_number": "972-896-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 ACTON AVE",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373338",
            "telephone_number": "972-896-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE SMILE DUNCANVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-896-9386"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.