Active NPI
Camp Wisdom Road Dentistry, PA
- General Practice Dentistry
- Duncanville, TX
National Provider Identifier
1942515275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth To, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Grand Prairie, TX
- NPI 1659533727
-
- General Practice Dentistry
- Grand Prairie, TX
- NPI 1891818183
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
- Alberto Bustillos, DC
- C-Kubed Counseling, Coaching and Consulting LLC
- Carlos Eduardo Caballero
- Caladrius Hospice and Palliative Care Inc.
- Camp Wisdom Back & Neck Care Center
- Caregivers Connection 4U, LLC (Compassionate Care for Seniors)
- Carlos Martinez, DDS, PLLC (Glow Family Dental)
- Zephyr Leacarol Carson, LCSW
- Carter Medical Equipment & Supplies
- Leah A Carter
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.