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CANYON CREEK FAMILY DENTISTRY, P.A.
NPI 1659502730
Dentist - General Practice in Richardson, TX

Active since August 06, 2009
2091 N COLLINS BLVD STE 100, RICHARDSON, TX 75080(972) 644-3800(972) 644-3888 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon Creek Family Dentistry, P.a. NPPES

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

CANYON CREEK FAMILY DENTISTRY, P.A. (NPI 1659502730) is a healthcare organization registered as a general practice in Richardson, Texas and active in the NPI registry since August 2009. The organization lists Afshin Azmoodeh, President, as its authorized official.

NPPES Registry Identity

NPI1659502730
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCANYON CREEK FAMILY DENTISTRY, P.A.
Location Address2091 N COLLINS BLVD STE 100Richardson, TX 75080-2636
Mailing Address2091 N Collins Blvd Ste 100Richardson, TX 75080-2636 · (972) 644-3800 · Fax (972) 644-3888
Phone(972) 644-3800
Fax(972) 644-3888
Organization SubpartNo
Authorized OfficialAfshin AzmoodehPresident · (972) 644-3800
Enumeration DateAugust 6, 2009
✔ NPI 1659502730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 20074
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.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 24260 (TX)
2091 N COLLINS BLVD STE 100, Richardson, TX 75080
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

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 Canyon Creek Family Dentistry, P.A.'s NPI number?

The NPI number for Canyon Creek Family Dentistry, P.A. is 1659502730. It was assigned to this organization in the NPPES registry on August 6, 2009.

Where is Canyon Creek Family Dentistry, P.A. located?

Canyon Creek Family Dentistry, P.A. is located at 2091 N Collins Blvd Ste 100, Richardson, TX 75080. The listed phone number is (972) 644-3800.

What is Canyon Creek Family Dentistry, P.A.'s specialty?

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

What insurance does Canyon Creek Family Dentistry, P.A. 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 Canyon Creek Family Dentistry, P.A. 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 Canyon Creek Family Dentistry, P.A. was last updated on August 6, 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.