NPIMap

Organization Active NPI

DFW Dental Associates, PA

Doing business as Frysh Dental Group

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1760863211
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16346 Issued in TX
Legal business name
DFW DENTAL ASSOCIATES, PA
Doing business as
Frysh Dental Group
Practice address
16000 Preston Rd
Suite 310
Dallas, TX 75248-3564
Phone
(972) 386-6460
NPI assigned
Jun 10, 2015
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Mr. Matthew Hale
Title
Authorized Representative
Phone
(972) 905-4744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16346 TX Primary

Addresses

Primary practice location

16000 Preston Rd
Suite 310
Dallas, TX 75248-3564

Mailing address

2711 LBJ Fwy
Suite 122
Dallas, TX 75234-7315
Phone (972) 905-4759

Other names 1

  • Frysh Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DFW Dental Associates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

16000 Preston Rd
Ste 310
Dallas, TX 75248
Phone (972) 386-6460

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1760863211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 LBJ FWY",
            "address_2": "SUITE 122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347315",
            "telephone_number": "972-905-4759",
            "fax_number": "972-905-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PRESTON RD",
            "address_2": "SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483564",
            "telephone_number": "972-386-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "972-905-4744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frysh Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2015; 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.