Highland Dental Group, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HIGHLAND DENTAL GROUP, PLLC

Doing business as

Highland Village Family Dentistry

Practice address

2600 Village Pkwy Ste 120
Highland Village, TX 75077-3285

Phone

(469) 444-6500

NPI assigned

Jan 2, 2025

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackson Fuller, DDSNPI 1619549862

Title

Dentist

Phone

(469) 444-6500

Specialties & licenses 1

Addresses

Other names 1

• Highland Village Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackson Fuller, DDS

  • General Practice Dentistry
  • Highland Village, TX
  • NPI 1619549862
  NPD Authorized official

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1760291017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VILLAGE PKWY STE 120",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VILLAGE PKWY STE 120",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773285",
            "telephone_number": "469-444-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "469-444-6500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Village Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Hart
• Eryn Claire Harwell, DC
• Lynda Anne Hatley, APRN, FNP-C
• Healthsource of Flower Mound LLC
• Amy M Henderson, LPC,CPC
• Highland Village Counseling
• Highland Village Medical Center
• Highland Village Primary Care, P.a.
• Highland Village Skilled Care, LLC (Rambling Oaks Courtyard Extensive Care Community)
• Kaitlyn Hodges, DDS

• Dental Clinic/Center in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.