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PECAN TREE DENTAL
NPI 1871909127
Preferred Provider Organization in Grand Prairie, TX

Active since July 08, 2014
775 W WESTCHESTER PKWY STE 101, GRAND PRAIRIE, TX 75052(972) 262-5111 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pecan Tree Dental NPPES

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

PECAN TREE DENTAL (NPI 1871909127) is a healthcare organization registered as a preferred provider organization in Grand Prairie, Texas and active in the NPI registry since July 2014. The organization lists Quinn Joe Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1871909127
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePECAN TREE DENTAL
Location Address775 W WESTCHESTER PKWY STE 101Grand Prairie, TX 75052-2851
Mailing Address2672 Basswood DrGrand Prairie, TX 75052-4700 · (602) 300-1059
Phone(972) 262-5111
Organization SubpartNo
Authorized OfficialQuinn Joe SmithOwner · (208) 371-2007
Enumeration DateJuly 8, 2014
✔ NPI 1871909127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in TX · 30205
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
775 W WESTCHESTER PKWY STE 101, Grand Prairie, TX 75052
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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 Pecan Tree Dental's NPI number?

The NPI number for Pecan Tree Dental is 1871909127. It was assigned to this organization in the NPPES registry on July 8, 2014.

Where is Pecan Tree Dental located?

Pecan Tree Dental is located at 775 W Westchester Pkwy Ste 101, Grand Prairie, TX 75052. The listed phone number is (972) 262-5111.

What is Pecan Tree Dental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Pecan Tree Dental was last updated on July 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.