GRAND PRAIRIECHILDRENS DENTISTRY
NPI 1801040993
Dentist - Pediatric Dentistry in Grand Prairie, TX

Active since November 17, 2008
5115 LAKERIDGE PARKWAY, #200, GRAND PRAIRIE, TX 75052(972) 522-0660(972) 522-0572 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Prairiechildrens Dentistry NPPES

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

GRAND PRAIRIECHILDRENS DENTISTRY (NPI 1801040993) is a healthcare organization registered as a pediatric dentistry in Grand Prairie, Texas and active in the NPI registry since November 2008. The organization lists Yoon K Tak, President, as its authorized official.

NPPES Registry Identity

NPI1801040993
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameYOON K TAK DMD A PROFESSIONAL CORPORATION
Location Address5115 LAKERIDGE PARKWAY, #200Grand Prairie, TX 75052
Mailing Address5115 Lakeridge Parkway, #200Grand Prairie, TX 75052 · (817) 368-9170
Fax(972) 522-0572
Organization SubpartNo
Authorized OfficialYoon K TakPresident · (972) 522-0660
Enumeration DateNovember 17, 2008
Last NPPES UpdateJuly 22, 2009
NPI 1801040993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 23670
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5115 LAKERIDGE PARKWAY, Grand Prairie, TX 75052

Other Names 1

Doing Business AsGrand Prairiechildrens Dentistry

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 (Pediatric Dentistry)
5115 LAKERIDGE PARKWAY, #200
GRAND PRAIRIE, TX 75052

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 Yoon K Tak Dmd A Professional Corporation's NPI number?

The NPI number for Yoon K Tak Dmd A Professional Corporation is 1801040993. It was assigned to this organization in the NPPES registry on November 17, 2008. The provider is doing business as Grand Prairiechildrens Dentistry.

Where is Yoon K Tak Dmd A Professional Corporation located?

Yoon K Tak Dmd A Professional Corporation is located at 5115 Lakeridge Parkway #200, Grand Prairie, TX 75052. The listed phone number is (972) 522-0660.

What is Yoon K Tak Dmd A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Yoon K Tak Dmd A Professional Corporation was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.