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CLEAN DENTAL
NPI 1669777686
Dentist - General Practice in Mesquite, TX

Active since January 23, 2011
4402 GUS THOMASSON RD, SUITE A, MESQUITE, TX 75150(214) 765-6212 Get Directions Write a Review

NPPES record last updated: December 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clean Dental NPPES

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

CLEAN DENTAL (NPI 1669777686) is a healthcare organization registered as a general practice in Mesquite, Texas and active in the NPI registry since January 2011. The organization lists Sang Woo Park, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669777686
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLEAN DENTAL OF MESQUITE, P.C.
Location Address4402 GUS THOMASSON RD, SUITE AMesquite, TX 75150-2232
Mailing Address4402 Gus Thomasson Rd, Suite AMesquite, TX 75150-2232 · (214) 765-6212
Phone(214) 765-6212
Organization SubpartNo
Authorized OfficialSang Woo ParkCeo · (614) 530-1189
Enumeration DateJanuary 23, 2011
Last NPPES UpdateDecember 27, 2014
✔ NPI 1669777686 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 · 23653
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.
4402 GUS THOMASSON RD, Mesquite, TX 75150
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Other Names 1

Doing Business AsClean Dental

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

Other Providers at the Same Location NPPES

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

ANKITA PATEL
Dentist
4402 GUS THOMASSON RD
MESQUITE, TX 75150
Dallas County (469) 258-8337

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 Clean Dental Of Mesquite, P.C.'s NPI number?

The NPI number for Clean Dental Of Mesquite, P.C. is 1669777686. It was assigned to this organization in the NPPES registry on January 23, 2011. The provider is doing business as Clean Dental.

Where is Clean Dental Of Mesquite, P.C. located?

Clean Dental Of Mesquite, P.C. is located at 4402 Gus Thomasson Rd Suite A, Mesquite, TX 75150. The listed phone number is (214) 765-6212.

What is Clean Dental Of Mesquite, P.C.'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 Clean Dental Of Mesquite, P.C. was last updated on December 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.