Dentalhub of Wylie

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTALHUB OF WYLIE

Practice address

3483 W.FM 544
Unit- 112
Wylie, TX 75098

Phone

(219) 308-7221

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Juveria Fakhruddin, DDSNPI 1396102851

Title

Owner

Phone

(219) 308-7221

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Juveria Fakhruddin

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1396102851
  NPD (past) Authorized official

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1720623515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 W.FM 544",
            "address_2": "UNIT- 112",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "219-308-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 W.FM 544",
            "address_2": "UNIT- 112",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "219-308-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALHUB OF WYLIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "FAKHRUDDIN",
        "authorized_official_first_name": "JUVERIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-308-7221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "juveria@dentalhubtx.com",
            "affiliation": "N",
            "address_1": "3483 W.FM 544",
            "address_2": "UNIT- 112",
            "city": "WYLIE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shanna M Davis, DPT
• Anthony Davison, MSPT
• Dcshealthcareservices
• Betsy B Dehart, CPNP-PC
• Margarit Mary Delaney, PA-C
• Zena Abebe Dereje
• Nicole Deyoe, BCBA
• DFW
• Diagnostic Mobile Imaging Inc
• Digital Spinal Diagnostics, LLC

• General Practice Dentistry in Wylie, TX
• Providers in Wylie, 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 Mar 11, 2025; 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.