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CITRUS-04 PLLC
NPI 1104636117
Dentist - General Practice in Lucas, TX

Active since January 10, 2025
2650 W LUCAS RD # 120, LUCAS, TX 75002(214) 785-8271 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Citrus-04 Pllc NPPES

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

CITRUS-04 PLLC (NPI 1104636117) is a healthcare organization registered as a general practice in Lucas, Texas and active in the NPI registry since January 2025. The organization lists Gursimran Aurora, Owner, as its authorized official.

NPPES Registry Identity

NPI1104636117
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCITRUS-04 PLLC
Location Address2650 W LUCAS RD # 120Lucas, TX 75002-7513
Mailing Address2650 W Lucas Rd # 120Lucas, TX 75002-7513 · (214) 785-8271
Phone(214) 785-8271
Organization SubpartNo
Authorized OfficialGursimran AuroraOwner · (339) 234-3232
Enumeration DateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1104636117 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.
2650 W LUCAS RD # 120, Lucas, TX 75002
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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

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 Citrus-04 PLLC's NPI number?

The NPI number for Citrus-04 PLLC is 1104636117. It was assigned to this organization in the NPPES registry on January 10, 2025.

Where is Citrus-04 PLLC located?

Citrus-04 PLLC is located at 2650 W Lucas Rd # 120, Lucas, TX 75002. The listed phone number is (214) 785-8271.

What is Citrus-04 PLLC's specialty?

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

What insurance does Citrus-04 PLLC 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 Citrus-04 PLLC 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 Citrus-04 PLLC was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.