Organization Active NPI

Dallas Dental Specialists PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1760727952
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DALLAS DENTAL SPECIALISTS PLLC
Practice address
2702 McKinney Ave
200
Dallas, TX 75204-2508
Phone
(214) 754-0111
Fax
(214) 754-0112
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Corbin D Milenbaugh, DDS
Title
Owner
Phone
(214) 754-0111

Specialties & licenses 1

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

Addresses

Primary practice location

2702 McKinney Ave
200
Dallas, TX 75204-2508

Mailing address

2702 McKinney Ave
200
Dallas, TX 75204-2508
Phone (214) 754-0111

National Provider Directory

National Provider Directory

Locations

2702 McKinney Ave
Ste 200
Dallas, TX 75204
Phone (214) 754-0111

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1760727952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 MCKINNEY AVE",
            "address_2": "200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042508",
            "telephone_number": "214-754-0111",
            "fax_number": "214-754-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 MCKINNEY AVE",
            "address_2": "200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042508",
            "telephone_number": "214-754-0111",
            "fax_number": "214-754-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DENTAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "MILENBAUGH",
        "authorized_official_first_name": "CORBIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-754-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.