DFW Dental Capital PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DFW DENTAL CAPITAL PC

Doing business as

Galloway Dental
Stadium Dental

Practice address

3330 N Galloway Ave Ste 158
Mesquite, TX 75150-4701

Phone

(469) 273-1376

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Ben Luka, DMD

Title

Dentist

Phone

(469) 273-1376

Specialties & licenses 2

Addresses

Other names 2

• Galloway Dental Doing business as
• Stadium Dental Doing business as

Tax ID family

DFW Capital PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DFW Capital PC

  • Dentist
  • Mesquite, TX
  • NPI 1841963386
  NPD tax ID

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1972278943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 N GALLOWAY AVE STE 158",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504701",
            "telephone_number": "469-273-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N GALLOWAY AVE STE 158",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504701",
            "telephone_number": "469-273-1376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 E Abram St Ste A",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760107259",
            "country_code": "US",
            "telephone_number": "682-323-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DFW DENTAL CAPITAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "LUKA",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "469-273-1376",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galloway Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stadium Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Derx
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• Latresa Dewberry
• DFW Capital PC
• DFW Injury Clinic
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• DFW Signature Services
• Diagnostic Evaluation Centers of America
• Diagnostic Image Plus

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.