FRESH DENTAL-SHREVEPORT
NPI 1073880639
Dentist in Irving, TX

Q: What is Fresh Dental-Shreveport's NPI number?

The NPI number for Fresh Dental-Shreveport is 1073880639. It was assigned to this organization in the NPPES registry on November 28, 2011.

Q: What is Fresh Dental-Shreveport's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 28, 2011

7301 STATE HIGHWAY 161 STE 198, IRVING, TX 75039(972) 869-3789(972) 869-3791 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fresh Dental-shreveport NPPES

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

FRESH DENTAL-SHREVEPORT (NPI 1073880639) is a healthcare organization registered as a dentist in Irving, Texas and active in the NPI registry since November 2011. The organization lists Mary Pu, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1073880639

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFRESH DENTAL-SHREVEPORT

Location Address7301 STATE HIGHWAY 161 STE 198Irving, TX 75039-2880

Mailing Address7301 State Highway 161 Ste 198Irving, TX 75039-2880 · (972) 869-3789 · Fax (972) 869-3791

Phone(972) 869-3789

Fax(972) 869-3791

Organization SubpartNo

Authorized OfficialMary PuVp Of Finance · (972) 869-3789

Enumeration DateNovember 28, 2011

✔ NPI 1073880639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7301 STATE HIGHWAY 161 STE 198, Irving, TX 75039

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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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