Pecan Tree Dental

Primary specialty

DentistTaxonomy code 122300000X

License

26362 Issued in TX

Legal business name

PECAN TREE DENTAL

Practice address

775 W Westchester Pkwy
#101
Grand Prairie, TX 75052-2856

Phone

(972) 262-5111

Fax

(972) 262-6812

NPI assigned

Apr 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Quinn J Smith, DDS

Title

Owner/Dentist

Phone

(972) 262-5111

Specialties & licenses 1

Addresses

Tax ID family

Pecan Tree Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pecan Tree Dental

  • Preferred Provider Organization
  • Grand Prairie, TX
  • NPI 1871909127
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Anthony Taylor, D.D.S.

  • General Practice Dentistry
  • Grand Prairie, TX
  • NPI 1689747818
  NPD (past)

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1639512403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 W WESTCHESTER PKWY",
            "address_2": "#101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522856",
            "telephone_number": "972-262-5111",
            "fax_number": "972-262-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 W WESTCHESTER PKWY",
            "address_2": "#101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522856",
            "telephone_number": "972-262-5111",
            "fax_number": "972-262-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECAN TREE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "QUINN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "972-262-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Health and Wellness Clinic
• Peace Health Care Services
• Peace of Mind Home Care
• Peaceful Mind Behavioral Health LLC
• Peak Physical Therapy, LLC
• Pecan Tree Dental
• Denise A Peck, ARNP
• Peculiar Health & Psychiatry LLC
• Peculiar Wellness Center LLC
• Erica Ann Peddy

• Dentist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.