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LIFE DENTAL
NPI 1700920188
Clinic/Center - Dental in Dallas, TX

Active since February 17, 2007
3330 DOUGLAS AVE, DALLAS, TX 75219(214) 780-0600 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2022, Nov 20, 2019 (2 updates tracked since 2019).

About Life Dental NPPES

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

LIFE DENTAL (NPI 1700920188) is a healthcare organization registered as a dental in Dallas, Texas and active in the NPI registry since February 2007. The organization lists Tuan Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1700920188
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSPARKLE DENTAL CENTER
Location Address3330 DOUGLAS AVEDallas, TX 75219-2717
Mailing Address3330 Douglas Ave Ste BDallas, TX 75219-2717 · (214) 780-0600
Phone(214) 780-0600
Organization SubpartNo
Authorized OfficialTuan NguyenPresident · (214) 780-0600
Enumeration DateFebruary 17, 2007
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1700920188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TX · 21736
3330 DOUGLAS AVE, Dallas, TX 75219
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Other Names 1

Other NameLife Dental

Other Identifiers 1

Medicaid176281701TX

Other Providers at the Same Location NPPES 4

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

REVIVE PCMS HIGHLAND PARK PLLC
Family Medicine
3330 DOUGLAS AVE
DALLAS, TX 75219
Dallas County (972) 236-7060
DOUGLAS AVENUE MEDICAL MANAGEMENT CO
General Practice
3330 DOUGLAS AVE
DALLAS, TX 75219
Dallas County (214) 522-3930
MBA GENERAL MANAGEMENT LTD
General Practice
3330 DOUGLAS AVE
DALLAS, TX 75219
Dallas County (214) 522-3930
SHAYAN ASLAM NIZAMI DMD
Dentist
3330 DOUGLAS AVE
DALLAS, TX 75219
Dallas County (214) 780-0600

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 Sparkle Dental Center's NPI number?

The NPI number for Sparkle Dental Center is 1700920188. It was assigned to this organization in the NPPES registry on February 17, 2007. The provider is also known as Life Dental.

Where is Sparkle Dental Center located?

Sparkle Dental Center is located at 3330 Douglas Ave, Dallas, TX 75219. The listed phone number is (214) 780-0600.

What is Sparkle Dental Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Sparkle Dental Center was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.