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NOMAD DENTAL SPECIALIST
NPI 1669239612
Dentist - Oral and Maxillofacial Surgery in Dallas, TX

Active since March 05, 2024
6337 TULIP LN, DALLAS, TX 75230(045) 148-1204(833) 415-1902 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nomad Dental Specialist NPPES

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

NOMAD DENTAL SPECIALIST (NPI 1669239612) is a healthcare organization registered as an oral and maxillofacial surgery in Dallas, Texas and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Dallas and lists Rebecca Peterson, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669239612
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNOMAD DENTAL SPECIALIST
Location Address6337 TULIP LNDallas, TX 75230-3829
Mailing Address6337 Tulip LnDallas, TX 75230-3829 · (404) 287-8120
Phone(045) 148-1204
Fax(833) 415-1902
Organization SubpartNo
Authorized OfficialRebecca PetersonCredentialing Coordinator · (951) 833-2740
Enumeration DateMarch 5, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1669239612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6337 TULIP LN, Dallas, TX 75230
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Secondary Practice Location 1

Location 16337 Tulip LnDallas, TX 75230-3829 · Phone (404) 287-8120

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 Solstice Healthplans of Texas, Inc., UnitedHealthcare.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 Nomad Dental Specialist's NPI number?

The NPI number for Nomad Dental Specialist is 1669239612. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Nomad Dental Specialist located?

Nomad Dental Specialist is located at 6337 Tulip Ln, Dallas, TX 75230. The listed phone number is (045) 148-1204.

What is Nomad Dental Specialist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Nomad Dental Specialist accept?

Health plans from Solstice Healthplans of Texas, Inc. and UnitedHealthcare list Nomad Dental Specialist 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 Nomad Dental Specialist was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.