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CUSTOM DENTAL OF DENTON, PLLC
NPI 1114654746
Clinic/Center - Dental in Denton, TX

Active since August 03, 2022

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Custom Dental Of Denton, Pllc NPPES

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

CUSTOM DENTAL OF DENTON, PLLC (NPI 1114654746) is a healthcare organization registered as a dental in Denton, Texas and active in the NPI registry since August 2022. The organization lists Shari Rene Rodgers, Coo, as its authorized official.

NPPES Registry Identity

NPI1114654746
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCUSTOM DENTAL OF DENTON, PLLC
Location Address4200 N I 35Denton, TX 76207-3441
Mailing Address4200 N I 35Denton, TX 76207-3441 · (405) 227-6100
Phone(940) 591-9362
Organization SubpartNo
Authorized OfficialShari Rene RodgersCoo · (405) 227-6100
Enumeration DateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1114654746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4200 N I 35, Denton, TX 76207
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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 Custom Dental Of Denton, PLLC's NPI number?

The NPI number for Custom Dental Of Denton, PLLC is 1114654746. It was assigned to this organization in the NPPES registry on August 3, 2022.

Where is Custom Dental Of Denton, PLLC located?

Custom Dental Of Denton, PLLC is located at 4200 N I 35, Denton, TX 76207. The listed phone number is (940) 591-9362.

What is Custom Dental Of Denton, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Custom Dental Of Denton, PLLC was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.