MTK Dentistry, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24000 Issued in TX

Legal business name

MTK DENTISTRY, PLLC

Practice address

743 Brick Row Dr Ste 220
Richardson, TX 75081-4947

Phone

(214) 502-5128

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Minh Trung Nguyen, DMD

Title

Dentist

Phone

(214) 502-5128

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380412800000",
    "number": "1922431519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 MUSTANG AVE",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484270",
            "telephone_number": "214-502-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 BRICK ROW DR STE 220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814947",
            "telephone_number": "214-502-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTK DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-09-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "TRUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "214-502-5128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Richardson, TX
• Providers in Richardson, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2013; 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.