PRODIGIOUS DENTAL PC
NPI 1124593066
Dentist - General Practice in Burleson, TX

Active since October 08, 2018
664 SW WILSHIRE BLVD, BURLESON, TX 76028(801) 440-2246 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2021, Apr 3, 2021, Oct 8, 2018 (3 updates tracked since 2018).

About Prodigious Dental Pc NPPES

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

PRODIGIOUS DENTAL PC (NPI 1124593066) is a healthcare organization registered as a general practice in Burleson, Texas and active in the NPI registry since October 2018. The organization lists Arshdeep Sohi, President, as its authorized official.

NPPES Registry Identity

NPI1124593066
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRODIGIOUS DENTAL PC
Location Address664 SW WILSHIRE BLVDBurleson, TX 76028-5851
Mailing Address664 Sw Wilshire BlvdBurleson, TX 76028-5851 · (801) 440-2246
Organization SubpartNo
Authorized OfficialArshdeep SohiPresident · (817) 426-3331
Enumeration DateOctober 8, 2018
Last NPPES UpdateDecember 28, 20213 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
NPI 1124593066 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.
664 SW WILSHIRE BLVD, Burleson, TX 76028

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

Other Providers at the Same Location NPPES 5

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

Dentist
664 SW WILSHIRE BLVD
BURLESON, TX 76028
Dentist (General Practice)
664 SW WILSHIRE BLVD
BURLESON, TX 76028
Dentist (General Practice)
664 SW WILSHIRE BLVD
BURLESON, TX 76028
Preferred Provider Organization
664 SW WILSHIRE BLVD
BURLESON, TX 76028
Dentist (General Practice)
664 SW WILSHIRE BLVD
BURLESON, TX 76028

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 Prodigious Dental PC's NPI number?

The NPI number for Prodigious Dental PC is 1124593066. It was assigned to this organization in the NPPES registry on October 8, 2018.

Where is Prodigious Dental PC located?

Prodigious Dental PC is located at 664 SW Wilshire Blvd, Burleson, TX 76028. The listed phone number is (801) 440-2246.

What is Prodigious Dental PC's specialty?

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

What insurance does Prodigious Dental PC accept?

Health plans from DentaQuest USA Insurance Company, Inc. list Prodigious Dental PC 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 Prodigious Dental PC was last updated on December 28, 2021. 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.