RADIANT SMILES MID CITIES
NPI 1649533191
Dentist - General Practice in Hurst, TX

Active since June 20, 2012
458 MID CITIES BLVD, HURST, TX 76054(817) 571-2100 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radiant Smiles Mid Cities NPPES

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

RADIANT SMILES MID CITIES (NPI 1649533191) is a healthcare organization registered as a general practice in Hurst, Texas and active in the NPI registry since June 2012. The organization lists Jared Bruggeman, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1649533191
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROVIDER RESOURCES 3
Location Address458 MID CITIES BLVDHurst, TX 76054
Mailing Address1000 Texan Trail Ste 229Grapevine, TX 76051 · (817) 328-6150
Organization SubpartNo
Authorized OfficialJared BruggemanOwner/doctor · (817) 328-6150
Enumeration DateJune 20, 2012
NPI 1649533191 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.
458 MID CITIES BLVD, Hurst, TX 76054

Other Names 1

Doing Business AsRadiant Smiles Mid Cities

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 6

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

Dentist (General Practice)
458 MID CITIES BLVD
HURST, TX 76054
Dentist (General Practice)
458 MID CITIES BLVD
HURST, TX 76054
Clinic/Center (Dental)
458 MID CITIES BLVD
HURST, TX 76054
Dentist (General Practice)
458 MID CITIES BLVD
HURST, TX 76054
Dentist (Orthodontics and Dentofacial Orthopedics)
458 MID CITIES BLVD
HURST, TX 76054
Dentist
458 MID CITIES BLVD
HURST, TX 76054

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 Dental Provider Resources 3's NPI number?

The NPI number for Dental Provider Resources 3 is 1649533191. It was assigned to this organization in the NPPES registry on June 20, 2012. The provider is doing business as Radiant Smiles Mid Cities.

Where is Dental Provider Resources 3 located?

Dental Provider Resources 3 is located at 458 Mid Cities Blvd, Hurst, TX 76054. The listed phone number is (817) 571-2100.

What is Dental Provider Resources 3'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 Dental Provider Resources 3 was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.