Sparkle Dental Center of Grand Prairie

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21736 Issued in TX

Legal business name

SPARKLE DENTAL CENTER OF GRAND PRAIRIE

Practice address

1017 Ft. Worth St.
Suite100
Grand Prairie, TX 75050

Phone

(214) 412-2602

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Tuan Anh Nguyen

Title

President

Phone

(469) 831-0890

Specialties & licenses 1

Addresses

Tax ID family

Sparkle Dental Center of Grand Prairie2 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.

• Sparkle Dental Center of Grand Prairie

  • General Practice Dentistry
  • Grand Prairie, TX
  • NPI 1760793632
  NPD tax ID

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1982911251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 FT. WORTH ST.",
            "address_2": "SUITE100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "214-412-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FT. WORTH ST.",
            "address_2": "SUITE100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "214-412-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE DENTAL CENTER OF GRAND PRAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-831-0890"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Crossing Dental PC
• Southwest Home Medical Care Services, PLLC
• Southwest Neurophysiology, PLLC
• Toryn Spann
• Sparkle Dental Center of Grand Prairie
• Sparkle Dentistry Grand Prairie
• Speak Hope Youth and Family Services
• Specialized Transformation
• Spectrum of Love
• Dawn Brittany Spelman-Ojeda, M.D.

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.