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TENNYSON LAKE DENTAL
NPI 1043712037
Dentist - General Practice in Plano, TX

Active since March 06, 2018
5044 TENNYSON PKWY STE A, PLANO, TX 75024(972) 378-3601 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tennyson Lake Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TENNYSON LAKE DENTAL (NPI 1043712037) is a healthcare organization registered as a general practice in Plano, Texas and active in the NPI registry since March 2018. The organization lists Cassandra Petersen, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1043712037
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF TEXAS, P.A.
Location Address5044 TENNYSON PKWY STE APlano, TX 75024-2953
Mailing Address5044 Tennyson Pkwy Ste APlano, TX 75024-2953
Phone(972) 378-3601
Organization SubpartYes
Authorized OfficialCassandra PetersenCredentialing Team Lead · (217) 540-8972
Enumeration DateMarch 6, 2018
✔ NPI 1043712037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
5044 TENNYSON PKWY STE A, Plano, TX 75024
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Other Names 1

Doing Business AsTennyson Lake Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dental Professionals Of Texas, P.A.'s NPI number?

The NPI number for Dental Professionals Of Texas, P.A. is 1043712037. It was assigned to this organization in the NPPES registry on March 6, 2018. The provider is doing business as Tennyson Lake Dental.

Where is Dental Professionals Of Texas, P.A. located?

Dental Professionals Of Texas, P.A. is located at 5044 Tennyson Pkwy Ste A, Plano, TX 75024. The listed phone number is (972) 378-3601.

What is Dental Professionals Of Texas, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dental Professionals Of Texas, P.A. accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Dental Professionals Of Texas, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of Texas, P.A. was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.