PRIMARY DENTAL CLINIC
NPI 1669529798
Dentist - General Practice in Dallas, TX

Active since January 04, 2007
6871 SHADYBROOK LN, DALLAS, TX 75231(469) 939-6691 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primary Dental Clinic NPPES

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

PRIMARY DENTAL CLINIC (NPI 1669529798) is a healthcare organization registered as a general practice in Dallas, Texas and active in the NPI registry since January 2007. The organization lists Kim Bui, Secretary, as its authorized official.

NPPES Registry Identity

NPI1669529798
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRIMARY DENTAL CLINIC, P.A.
Location Address6871 SHADYBROOK LNDallas, TX 75231-6605
Mailing Address1906 Village Creek DrGarland, TX 75040-3946 · (469) 939-6691
Organization SubpartNo
Authorized OfficialKim BuiSecretary · (469) 939-6691
Enumeration DateJanuary 4, 2007
Last NPPES UpdateMarch 20, 2014
NPI 1669529798 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 · 21598
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.
6871 SHADYBROOK LN, Dallas, TX 75231

Other Names 1

Doing Business AsPrimary Dental Clinic

Other Identifiers 3

Other21598TX · Sbde Tx Dentist Provider Number
OtherB21598-01TX · Texas Chip
Medicaid176322901TX

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

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

Dentist (General Practice)
6871 SHADYBROOK LN
DALLAS, TX 75231

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 Primary Dental Clinic, P.A.'s NPI number?

The NPI number for Primary Dental Clinic, P.A. is 1669529798. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as Primary Dental Clinic.

Where is Primary Dental Clinic, P.A. located?

Primary Dental Clinic, P.A. is located at 6871 Shadybrook Ln, Dallas, TX 75231. The listed phone number is (469) 939-6691.

What is Primary Dental Clinic, P.A.'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 Primary Dental Clinic, P.A. was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.