Organization Active NPI

P Dental Center LC

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1609038769
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20476 Issued in TX
Legal business name
P DENTAL CENTER LC
Doing business as
P Dental
Practice address
3043 Old Denton Rd Ste 110
Carrollton, TX 75007-5036
Phone
(972) 492-5838
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Tuan D Su, DDS
Title
Manager
Phone
(972) 567-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20476 TX Primary

Addresses

Primary practice location

3043 Old Denton Rd Ste 110
Carrollton, TX 75007-5036

Mailing address

3043 Old Denton Rd Ste 110
Carrollton, TX 75007-5036

Other names 1

  • P Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3043 Old Denton Rd
Ste 110
Carrollton, TX 75007
Phone (972) 492-5838

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1609038769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036",
            "telephone_number": "972-492-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P DENTAL CENTER LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-567-7450",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.