Organization Active NPI

SD Dentistry PLLC

  • Dentist
  • Arlington, TX
National Provider Identifier
1861222697
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SD DENTISTRY PLLC
Practice address
5615 SW Green Oaks Blvd
Arlington, TX 76017-1105
Phone
(817) 483-1692
Fax
(817) 483-1792
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Thien Duc DO, DMDNPI 1841979648
Title
Owner Dentist
Phone
(469) 883-2772

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

5615 SW Green Oaks Blvd
Arlington, TX 76017-1105

Mailing address

5615 SW Green Oaks Blvd
Arlington, TX 76017-1105
Phone (817) 483-1692

Other names 1

  • Star Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1861222697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 SW GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171105",
            "telephone_number": "817-483-1692",
            "fax_number": "817-483-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 SW GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171105",
            "telephone_number": "817-483-1692",
            "fax_number": "817-483-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "THIEN",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "469-883-2772",
        "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": "Star Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Star Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.