Great Southwest Family Dental PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GREAT SOUTHWEST FAMILY DENTAL PA

Practice address

2308 Bardin Rd Ste 100
Grand Prairie, TX 75052-3857

Phone

(972) 660-8457

Fax

(469) 660-0100

NPI assigned

Aug 9, 2019

Last updated

Aug 9, 2019By 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

Dr. Chris Hung Truong, DDSNPI 1720172570

Title

Business Owner

Phone

(972) 660-8457

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Chris Hung Truong, D.D.S.

  • Dentist
  • Grand Prairie, TX
  • NPI 1720172570
  Authorized official Same address or phone

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1932754520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 BARDIN RD STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523857",
            "telephone_number": "972-660-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 BARDIN RD STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523857",
            "telephone_number": "972-660-8457",
            "fax_number": "469-660-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SOUTHWEST FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "972-660-8457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142310512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shameka T Grant
• Tequila Grant
• Barbara Grantham, LPC
• Jenna Grantham
• Great Southwest Family Dental
• Great Southwest Family Dental Professional Association
• Great Southwest Medical LLC
• Greater Southwest Injury & Rehab Inc.
• Green Oaks Physical Therapy Limited Partnership (Green Oaks - Grand Praire)
• Green Oaks Physical Therapy LP

• Dental Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, 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 Aug 9, 2019; 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.