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RADIANT FAMILY DENTAL PLLC
NPI 1740779594
Dentist - General Practice in Southlake, TX

Active since May 08, 2018
2012 SOUTHLAKE GLEN DR., SOUTHLAKE, TX 76092(504) 237-3558 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Radiant Family Dental Pllc NPPES

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

RADIANT FAMILY DENTAL PLLC (NPI 1740779594) is a healthcare organization registered as a general practice in Southlake, Texas and active in the NPI registry since May 2018. The organization lists Omar Yousuf, President, as its authorized official.

NPPES Registry Identity

NPI1740779594
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRADIANT FAMILY DENTAL PLLC
Location Address2012 SOUTHLAKE GLEN DR.Southlake, TX 76092
Mailing Address2012 Southlake Glen Dr.Southlake, TX 76092 · (504) 237-3558
Phone(504) 237-3558
Organization SubpartNo
Authorized OfficialOmar YousufPresident · (504) 237-3558
Enumeration DateMay 8, 2018
✔ NPI 1740779594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2012 SOUTHLAKE GLEN DR., Southlake, TX 76092
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Other Identifiers 1

Medicaid1023371945TX

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

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 Radiant Family Dental PLLC's NPI number?

The NPI number for Radiant Family Dental PLLC is 1740779594. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Radiant Family Dental PLLC located?

Radiant Family Dental PLLC is located at 2012 Southlake Glen Dr., Southlake, TX 76092. The listed phone number is (504) 237-3558.

What is Radiant Family Dental PLLC'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 Radiant Family Dental PLLC was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.