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VINTAGE DENTAL SPA PLLC
NPI 1598068249
Dentist - General Practice in Dallas, TX

Active since December 17, 2010
4245 N CENTRAL EXPY, SUITE 240, DALLAS, TX 75205(214) 520-0887 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vintage Dental Spa Pllc NPPES

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

VINTAGE DENTAL SPA PLLC (NPI 1598068249) is a healthcare organization registered as a general practice in Dallas, Texas and active in the NPI registry since December 2010. The organization lists Charlie F. Carmichael, Owner, as its authorized official.

NPPES Registry Identity

NPI1598068249
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVINTAGE DENTAL SPA PLLC
Location Address4245 N CENTRAL EXPY, SUITE 240Dallas, TX 75205-4581
Mailing Address4245 N Central Expy, Suite 240Dallas, TX 75205-4581
Phone(214) 520-0887
Organization SubpartNo
Authorized OfficialCharlie F. CarmichaelOwner · (214) 705-7272
Enumeration DateDecember 17, 2010
Last NPPES UpdateMarch 10, 2011
✔ NPI 1598068249 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 · 22973
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.
4245 N CENTRAL EXPY, Dallas, TX 75205
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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

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 7

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

JOSHUA RYAN COOPER DDS
Dentist (General Practice)
4245 N CENTRAL EXPY, SUITE 240
DALLAS, TX 75205
Dallas County (214) 559-3400
COOPER COSMETIC & RESTORATIVE DENTISTRY, PA
Dentist (General Practice)
4245 N CENTRAL EXPY, SUITE 240
DALLAS, TX 75205
Dallas County (214) 559-3400
BUCK MOLINA LLC
Dentist
4245 N CENTRAL EXPY, #400
DALLAS, TX 75205
Dallas County (214) 522-7870
BLISSED BEING, PLLC
Counselor (Mental Health)
4245 N CENTRAL EXPY, #490
DALLAS, TX 75205
Dallas County (214) 532-3302
NANCY NGUYEN
Dentist
4245 N CENTRAL EXPY
DALLAS, TX 75205
Dallas County (214) 427-1941
AJOKE NURSING CONCIERGE
Registered Nurse
4245 N CENTRAL EXPY
DALLAS, TX 75205
Dallas County (469) 554-9819
AMINAT TOBI TAJOMAVWO RN
Registered Nurse (Maternal Newborn)
4245 N CENTRAL EXPY
DALLAS, TX 75205
Dallas County (469) 554-9819

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 Vintage Dental Spa PLLC's NPI number?

The NPI number for Vintage Dental Spa PLLC is 1598068249. It was assigned to this organization in the NPPES registry on December 17, 2010.

Where is Vintage Dental Spa PLLC located?

Vintage Dental Spa PLLC is located at 4245 N Central Expy Suite 240, Dallas, TX 75205. The listed phone number is (214) 520-0887.

What is Vintage Dental Spa PLLC's specialty?

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

What insurance does Vintage Dental Spa PLLC 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 2 other insurers list Vintage Dental Spa PLLC 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 Vintage Dental Spa PLLC was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.