THE DENTIST OFF MAIN, PLLC
NPI 1396184693
Dentist - General Practice in Grapevine, TX

Active since June 19, 2013
1245 S. MAIN ST., SUITE 100, GRAPEVINE, TX 76051(817) 527-1590(940) 497-3010 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Dentist Off Main, Pllc NPPES

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

THE DENTIST OFF MAIN, PLLC (NPI 1396184693) is a healthcare organization registered as a general practice in Grapevine, Texas and active in the NPI registry since June 2013. The organization lists Richard Bernard Luczak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396184693
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHE DENTIST OFF MAIN, PLLC
Location Address1245 S. MAIN ST., SUITE 100Grapevine, TX 76051
Mailing Address1245 S. Main St., Suite 100Grapevine, TX 76051 · (817) 527-1590 · Fax (940) 497-3010
Fax(940) 497-3010
Organization SubpartNo
Authorized OfficialRichard Bernard LuczakCeo · (817) 527-1590
Enumeration DateJune 19, 2013
NPI 1396184693 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 · 19398
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.

1245 S. MAIN ST., Grapevine, TX 76051

Other Identifiers 1

Other870515United Concordia

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

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

Nurse Practitioner (Psychiatric/Mental Health)
1245 S. MAIN ST., #120
GRAPEVINE, TX 76051

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 The Dentist Off Main, PLLC's NPI number?

The NPI number for The Dentist Off Main, PLLC is 1396184693. It was assigned to this organization in the NPPES registry on June 19, 2013.

Where is The Dentist Off Main, PLLC located?

The Dentist Off Main, PLLC is located at 1245 S. Main St. Suite 100, Grapevine, TX 76051. The listed phone number is (817) 527-1590.

What is The Dentist Off Main, PLLC'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 The Dentist Off Main, PLLC was last updated on June 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.