Active NPI
Excel Dental Clinic PA
- Dentist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- EXCEL DENTAL CLINIC PA
- Practice address
- 3302 N Buckner
Ste 119
Dallas, TX 75228 - Phone
- (214) 320-3466
- Fax
- (214) 320-3444
- NPI assigned
- Aug 20, 2006
- 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
- Dr. Quyen Tu Huynh
- Title
- Managing Dentist
- Phone
- (469) 655-5221
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| General Practice Dentistry | 1223G0001X |
Addresses
Primary practice location
3302 N Buckner
Ste 119
Dallas, TX 75228
Mailing address
4709 Ravendale Dr
Richardson, TX 75082
Phone (972) 231-6382
Other practice location 1
655 W Illinois Ave Ste 920
Dallas, TX 75224-1814
Phone (214) 948-7621
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150112402 | Medicaid | TX | |
| 150112401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
655 W Illinois Ave
Ste 920
Dallas, TX 75224
Phone (214) 948-7621
3302 N Buckner Blvd
Ste 119
Dallas, TX 75228
Phone (214) 320-3466
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1881829653
-
- General Practice Dentistry
- Dallas, TX
- NPI 1174638134
-
- General Practice Dentistry
- Dallas, TX
- NPI 1134222664
-
- Dentist
- Dallas, TX
- NPI 1366339491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666310400000",
"number": "1992810980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 RAVENDALE DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75082",
"telephone_number": "972-231-6382",
"fax_number": "972-271-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 N BUCKNER",
"address_2": "STE 119",
"city": "DALLAS",
"state": "TX",
"postal_code": "75228",
"telephone_number": "214-320-3466",
"fax_number": "214-320-3444"
}
],
"practiceLocations": [
{
"address_1": "655 W Illinois Ave Ste 920",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752241814",
"country_code": "US",
"telephone_number": "214-948-7621",
"fax_number": "214-943-3008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EXCEL DENTAL CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A",
"authorized_official_last_name": "HUYNH",
"authorized_official_first_name": "QUYEN",
"authorized_official_middle_name": "TU",
"authorized_official_title_or_position": "MANAGING DENTIST",
"authorized_official_telephone_number": "469-655-5221",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150112402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150112401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.