GREAT SOUTHWEST FAMILY DENTAL PROFESSIONAL ASSOCIATION
NPI 1386962660
Dentist - General Practice in Grand Prairie, TX

Active since May 11, 2010
2308 BARDIN RD, GRAND PRAIRIE, TX 75052(972) 660-8457 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Great Southwest Family Dental Professional Association NPPES

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

GREAT SOUTHWEST FAMILY DENTAL PROFESSIONAL ASSOCIATION (NPI 1386962660) is a healthcare organization registered as a general practice in Grand Prairie, Texas and active in the NPI registry since May 2010. The organization lists Chris H Truong, President, as its authorized official.

NPPES Registry Identity

NPI1386962660
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGREAT SOUTHWEST FAMILY DENTAL PROFESSIONAL ASSOCIATION
Location Address2308 BARDIN RDGrand Prairie, TX 75052-3856
Mailing Address2308 Bardin RdGrand Prairie, TX 75052-3856 · (972) 660-8457
Organization SubpartNo
Authorized OfficialChris H TruongPresident · (972) 660-8457
Enumeration DateMay 11, 2010
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1386962660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 220394
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.
2308 BARDIN RD, Grand Prairie, TX 75052

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Southwest Family Dental Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Southwest Family Dental Professional Association, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1720172570
2308 BARDIN RD
Grand Prairie, TX 75052
(972) 660-8457
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Great Southwest Family Dental Professional Association's NPI number?

The NPI number for Great Southwest Family Dental Professional Association is 1386962660. It was assigned to this organization in the NPPES registry on May 11, 2010.

Where is Great Southwest Family Dental Professional Association located?

Great Southwest Family Dental Professional Association is located at 2308 Bardin Rd, Grand Prairie, TX 75052. The listed phone number is (972) 660-8457.

What is Great Southwest Family Dental Professional Association's specialty?

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

Is Great Southwest Family Dental Professional Association enrolled in Medicare?

Yes. Great Southwest Family Dental Professional Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Southwest Family Dental Professional Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Great Southwest Family Dental Professional Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Southwest Family Dental Professional Association accept?

Health plans from UnitedHealthcare list Great Southwest Family Dental Professional Association 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 Great Southwest Family Dental Professional Association was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.