Dental Practice Group LLC

Primary specialty

DentistTaxonomy code 122300000X

License

18962 Issued in TX

Legal business name

DENTAL PRACTICE GROUP LLC

Doing business as

Magnolia Park Dental/Flower Mound Dental

Practice address

651 N Denton Tap Rd Ste 170
Coppell, TX 75019-7937

Phone

(972) 899-4900

Fax

(972) 899-4928

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Robert Jennings Jr., DDS

Title

Doctor/Owner

Phone

(940) 206-8956

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Park Dental/Flower Mound Dental Doing business as

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1992982649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S STEMMONS FWY STE 500",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653633",
            "telephone_number": "940-321-2205",
            "fax_number": "940-321-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD STE 170",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197937",
            "telephone_number": "972-899-4900",
            "fax_number": "972-899-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PRACTICE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "940-206-8956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Park Dental/Flower Mound Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Mari Defillo, LCSW
• Rosa Laura Delatorre, FNP
• Daniel Rand Delorimiere, DC
• Delta Healthcare Placement
• Dental Health Associates of TX, P.C. (Complete Smiles Dentistry)
• Prachi Deore, DDS
• Dhruti Nishit Desai, FNP-C
• Yash Desai
• Destra Diagnostics
• Devlab (DevLab Bio)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.