Organization Active NPI

Camp Wisdom Road Dentistry, PA

  • General Practice Dentistry
  • Duncanville, TX
National Provider Identifier
1942515275
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CAMP WISDOM ROAD DENTISTRY, PA
Practice address
319 W Camp Wisdom Rd
Duncanville, TX 75116-3332
Phone
(972) 642-2423
Fax
(972) 642-2571
NPI assigned
Aug 11, 2010
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Kenneth To, DDSNPI 1659533727
Title
Co-President
Phone
(972) 642-2423

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

319 W Camp Wisdom Rd
Duncanville, TX 75116-3332

Mailing address

PO Box 531649
Grand Prairie, TX 75053-1649
Phone (972) 642-2423

National Provider Directory

National Provider Directory

Locations

319 W Camp Wisdom Rd
Duncanville, TX 75116
Phone (972) 283-5755

Practitioners & affiliated clinicians

Practitioners 2

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": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1942515275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531649",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750531649",
            "telephone_number": "972-642-2423",
            "fax_number": "972-642-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W CAMP WISDOM RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163332",
            "telephone_number": "972-642-2423",
            "fax_number": "972-642-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP WISDOM ROAD DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "972-642-2423",
        "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 Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.