Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEMORIAL DENTAL PLLC
NPI 1609663830
Dentist - General Practice in Fate, TX

Active since April 22, 2025
1385 MEMORIAL PKWY, STE 5, FATE, TX 75189(972) 382-7010 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Memorial Dental Pllc NPPES

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

MEMORIAL DENTAL PLLC (NPI 1609663830), doing business as Memorial Dental, is a healthcare organization registered as a general practice in Fate, Texas and active in the NPI registry since April 2025. The organization lists Hyeon Kim, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1609663830
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMEMORIAL DENTAL PLLC
Location Address1385 MEMORIAL PKWY, STE 5Fate, TX 75189
Mailing Address1385 Memorial Pkwy, Ste 5Fate, TX 75189 · (972) 382-7010
Organization SubpartNo
Authorized OfficialHyeon KimDoctor Owner · (972) 382-7010
Enumeration DateApril 22, 2025
Last NPPES UpdateOctober 7, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1609663830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1385 MEMORIAL PKWY, Fate, TX 75189

Other Names 1

Doing Business AsMemorial Dental

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 Memorial Dental PLLC's NPI number?

The NPI number for Memorial Dental PLLC is 1609663830. It was assigned to this organization in the NPPES registry on April 22, 2025. The provider is doing business as Memorial Dental.

Where is Memorial Dental PLLC located?

Memorial Dental PLLC is located at 1385 Memorial Pkwy Ste 5, Fate, TX 75189. The listed phone number is (972) 382-7010.

What is Memorial Dental 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 Memorial Dental PLLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.