Organization Active NPI

NGM Dental Group, PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1962619262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12830 Issued in TX
Legal business name
NGM DENTAL GROUP, PLLC
Practice address
2126 Virginia St
Grand Prairie, TX 75051-3764
Phone
(972) 264-5795
Fax
(972) 264-9874
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cecil F George Jr., DDSNPI 1508941840
Title
Dr.-Partner
Phone
(972) 264-5795

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 12830 TX Primary

Addresses

Primary practice location

2126 Virginia St
Grand Prairie, TX 75051-3764

Mailing address

2126 Virginia St
Grand Prairie, TX 75051-3764
Phone (972) 264-5795

Other names 1

  • The Dental Place Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962619262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 VIRGINIA ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513764",
            "telephone_number": "972-264-5795",
            "fax_number": "972-264-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 VIRGINIA ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513764",
            "telephone_number": "972-264-5795",
            "fax_number": "972-264-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGM DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DR.-PARTNER",
        "authorized_official_telephone_number": "972-264-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.