SE PROFESSIONAL
NPI 1174934236
Dentist - General Practice in Frisco, TX

Active since May 12, 2014
5858 W MAIN ST, FRISCO, TX 75033(972) 377-4477 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Se Professional NPPES

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

SE PROFESSIONAL (NPI 1174934236) is a healthcare organization registered as a general practice in Frisco, Texas and active in the NPI registry since May 2014. The organization lists Jared Bruggeman, Dentist, as its authorized official.

NPPES Registry Identity

NPI1174934236
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSE PROFESSIONAL
Location Address5858 W MAIN STFrisco, TX 75033-4193
Mailing Address1127 S Main StGrapevine, TX 76051-7533 · (972) 377-4477
Organization SubpartNo
Authorized OfficialJared BruggemanDentist · (817) 912-2982
Enumeration DateMay 12, 2014
NPI 1174934236 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.
5858 W MAIN ST, Frisco, TX 75033

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 5

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

Optometrist
5858 W MAIN ST, SUITE 110
FRISCO, TX 75033
Chiropractor
5858 W MAIN ST, SUITE #115
FRISCO, TX 75033
Optometrist
5858 W MAIN ST, STE 110
FRISCO, TX 75033
Dentist (General Practice)
5858 W MAIN ST, STE 250
FRISCO, TX 75033
Dentist (Periodontics)
5858 W MAIN ST, SUITE 260
FRISCO, TX 75033

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 SE Professional's NPI number?

The NPI number for SE Professional is 1174934236. It was assigned to this organization in the NPPES registry on May 12, 2014.

Where is SE Professional located?

SE Professional is located at 5858 W Main St, Frisco, TX 75033. The listed phone number is (972) 377-4477.

What is SE Professional's specialty?

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

When was this NPI record last updated?

The NPPES record for SE Professional was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.