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SISOMBATH DENTAL PC
NPI 1760134480
Clinic/Center - Dental in Prosper, TX

Active since January 24, 2022
210 S PRESTON RD STE 60, PROSPER, TX 75078(469) 296-8714 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sisombath Dental Pc NPPES

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

SISOMBATH DENTAL PC (NPI 1760134480), doing business as Prosper & Smile Dental Care, is a healthcare organization registered as a dental in Prosper, Texas and active in the NPI registry since January 2022. The organization lists Jenny Sisombath, President, as its authorized official.

NPPES Registry Identity

NPI1760134480
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSISOMBATH DENTAL PC
Location Address210 S PRESTON RD STE 60Prosper, TX 75078-2780
Mailing Address5331 E Mockingbird Ln Apt 617Dallas, TX 75206-0911
Phone(469) 296-8714
Organization SubpartNo
Authorized OfficialJenny SisombathPresident · (469) 296-8714
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1760134480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
210 S PRESTON RD STE 60, Prosper, TX 75078
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Other Names 1

Doing Business AsProsper & Smile Dental Care

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 Sisombath Dental PC's NPI number?

The NPI number for Sisombath Dental PC is 1760134480. It was assigned to this organization in the NPPES registry on January 24, 2022. The provider is doing business as Prosper & Smile Dental Care.

Where is Sisombath Dental PC located?

Sisombath Dental PC is located at 210 S Preston Rd Ste 60, Prosper, TX 75078. The listed phone number is (469) 296-8714.

What is Sisombath Dental PC'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 Sisombath Dental PC was last updated on January 24, 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.