Provider Type Icon

GREAT SOUTHWEST FAMILY DENTAL NPI 1386962660


NPI Information

NPI: 1386962660
Provider Name: GREAT SOUTHWEST FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2501 W I 20
SUITE 100
GRAND PRAIRIE, TX
ZIP 75052
Phone: (972) 660-8457
Get Directions

GREAT SOUTHWEST FAMILY DENTAL is a general practice dentist in Grand Prairie, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GREAT SOUTHWEST FAMILY DENTAL NPI is 1386962660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 W I 20
SUITE 100
GRAND PRAIRIE, TX
ZIP 75052-947
Phone: (972) 660-8457

The provider's authorized official is Chris H Truong .
The authorized official title is President and has the following contact phone number (972) 660-8457.

The enumeration date for this NPI number is 5/11/2010 and was last updated on 5/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice220394MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.