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DR. JEFFREY SCOTT LIDE D.D.S.
NPI 1508914011
Dentist - General Practice in Richardson, TX

Active since January 08, 2007
330 MUNICIPAL DR, STE 100, RICHARDSON, TX 75080(972) 479-0477 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey Scott Lide D.d.s. NPPES

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

DR. JEFFREY SCOTT LIDE D.D.S. (NPI 1508914011) is an individual general practice provider in Richardson, Texas, licensed in Texas (TX18133) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1508914011
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEFFREY SCOTT LIDECredential: D.D.S.
Location Address330 MUNICIPAL DR, STE 100Richardson, TX 75080-3541
Mailing Address330 Municipal Dr, Ste 100Richardson, TX 75080-3541 · (972) 479-0477
Phone(972) 479-0477
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508914011 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 · TX18133
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.
330 MUNICIPAL DR, Richardson, TX 75080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. BAO LONG PHAN M.D.
Plastic Surgery
330 MUNICIPAL DR, SUITE 104
RICHARDSON, TX 75080
Dallas County (972) 671-6398

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 Jeffrey Lide's NPI number?

The NPI number for Jeffrey Lide is 1508914011. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jeffrey Lide located?

Jeffrey Lide practices at 330 Municipal Dr Ste 100, Richardson, TX 75080. The listed phone number is (972) 479-0477.

What is Jeffrey Lide's specialty?

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

What insurance does Jeffrey Lide accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Jeffrey Lide 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 Jeffrey Lide was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.