CRYSTAL DENTAL OF BURLESON
NPI 1508037128
Preferred Provider Organization in Burleson, TX

Active since March 23, 2008
664 SW WILSHIRE BLVD, BURLESON, TX 76028(817) 426-3331(817) 426-3337 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Dental Of Burleson NPPES

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

CRYSTAL DENTAL OF BURLESON (NPI 1508037128) is a healthcare organization registered as a preferred provider organization in Burleson, Texas and active in the NPI registry since March 2008. The organization lists Brian T. Le, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1508037128
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameCRYSTAL DENTAL OF BURLESON
Location Address664 SW WILSHIRE BLVDBurleson, TX 76028-5851
Mailing Address2880 Highway 157 N, Suite 102Mansfield, TX 76063-8849 · (817) 473-6200 · Fax (817) 473-6207
Fax(817) 426-3337
Organization SubpartNo
Authorized OfficialBrian T. LeDentist/owner · (817) 426-3331
Enumeration DateMarch 23, 2008
Last NPPES UpdateJuly 7, 2009
NPI 1508037128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in TX · 21298
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 21298 (TX)
664 SW WILSHIRE BLVD, Burleson, TX 76028

Other Identifiers 1

Medicaid1730177619TX

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.

Dentist (General Practice)
664 SW WILSHIRE BLVD
BURLESON, TX 76028
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
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 Crystal Dental Of Burleson's NPI number?

The NPI number for Crystal Dental Of Burleson is 1508037128. It was assigned to this organization in the NPPES registry on March 23, 2008.

Where is Crystal Dental Of Burleson located?

Crystal Dental Of Burleson is located at 664 SW Wilshire Blvd, Burleson, TX 76028. The listed phone number is (817) 426-3331.

What is Crystal Dental Of Burleson's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Crystal Dental Of Burleson was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.