VILLAGE DDS PLLC
NPI 1396101010
Dentist - Orthodontics and Dentofacial Orthopedics in Dallas, TX

Active since January 11, 2016
4041 W WHEATLAND RD, SUITE 202, DALLAS, TX 75237(817) 306-1738(817) 306-7366 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Village Dds Pllc NPPES

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

VILLAGE DDS PLLC (NPI 1396101010) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Dallas, Texas and active in the NPI registry since January 2016. The organization lists Omar Fetouh, Owner, as its authorized official.

NPPES Registry Identity

NPI1396101010
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameVILLAGE DDS PLLC
Location Address4041 W WHEATLAND RD, SUITE 202Dallas, TX 75237-4063
Mailing Address4041 W Wheatland Rd, Suite 202Dallas, TX 75237-4063 · (817) 306-1738 · Fax (817) 306-7366
Fax(817) 306-7366
Organization SubpartNo
Authorized OfficialOmar FetouhOwner · (716) 348-9855
Enumeration DateJanuary 11, 2016
NPI 1396101010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TX · 24314
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30316 (TX)
4041 W WHEATLAND RD, Dallas, TX 75237

Other Identifiers 2

Medicaid1992950042TX
Medicaid1568871523TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

Clinic/Center (Magnetic Resonance Imaging (MRI))
4041 W WHEATLAND RD, STE 178
DALLAS, TX 75237
Clinic/Center (Magnetic Resonance Imaging (MRI))
4041 W WHEATLAND RD, SUITE 178
DALLAS, TX 75237
Durable Medical Equipment & Medical Supplies
4041 W WHEATLAND RD
DALLAS, TX 75237
Nurse Anesthetist, Certified Registered
4041 W WHEATLAND RD, 156 343
DALLAS, TX 75237
Clinic/Center (Primary Care)
4041 W WHEATLAND RD, ST 116
DALLAS, TX 75237
Chiropractor
4041 W WHEATLAND RD, #156, PMB 487
DALLAS, TX 75237
Dentist (General Practice)
4041 W WHEATLAND RD, STE 202
DALLAS, TX 75237
Dentist
4041 W WHEATLAND RD, SUITE 202
DALLAS, TX 75237

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 Village Dds PLLC's NPI number?

The NPI number for Village Dds PLLC is 1396101010. It was assigned to this organization in the NPPES registry on January 11, 2016.

Where is Village Dds PLLC located?

Village Dds PLLC is located at 4041 W Wheatland Rd Suite 202, Dallas, TX 75237. The listed phone number is (817) 306-1738.

What is Village Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Village Dds PLLC was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.