NPIMap

Organization Active NPI

Penn Dental Partners PLLC

  • Dentist
  • Grand Prairie, TX
National Provider Identifier
1669942835
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PENN DENTAL PARTNERS PLLC
Practice address
800 S Center St
Grand Prairie, TX 75051-1815
Phone
(972) 264-1662
Fax
(972) 264-8677
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Dr. Hyunsik Sung, DMDNPI 1376973180
Title
Dentist
Phone
(972) 264-1662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

800 S Center St
Grand Prairie, TX 75051-1815

Mailing address

800 S Center St
Grand Prairie, TX 75051-1815
Phone (972) 264-1662

Other names 1

  • Leaf Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

800 S Center St
Grand Prairie, TX 75051
Phone (972) 264-1662

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1669942835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTER ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511815",
            "telephone_number": "972-264-1662",
            "fax_number": "972-264-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTER ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511815",
            "telephone_number": "972-264-1662",
            "fax_number": "972-264-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "HYUNSIK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-264-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leaf 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 Nov 30, 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.