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CLEBURNE DENTAL STUDIO PLLC
NPI 1952824468
Dentist - General Practice in Cleburne, TX

Active since July 18, 2017
1607 W HENDERSON ST STE K, CLEBURNE, TX 76033(817) 522-3166 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 26, 2021, Jul 18, 2017 (3 updates tracked since 2017).

About Cleburne Dental Studio Pllc NPPES

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

CLEBURNE DENTAL STUDIO PLLC (NPI 1952824468) is a healthcare organization registered as a general practice in Cleburne, Texas and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Grapevine and lists Jin Park, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1952824468
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLEBURNE DENTAL STUDIO PLLC
Location Address1607 W HENDERSON ST STE KCleburne, TX 76033-4179
Mailing Address1607 W Henderson St Ste KCleburne, TX 76033-4179 · (817) 522-3166
Phone(817) 522-3166
Organization SubpartNo
Authorized OfficialJin ParkOwner Dentist · (817) 522-3166
Enumeration DateJuly 18, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
✔ NPI 1952824468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 29792
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.
1607 W HENDERSON ST STE K, Cleburne, TX 76033
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Secondary Practice Location 1

Location 1310 Harmony Hill RdGrapevine, TX 76051-1134 · Phone (267) 210-2725

Other Identifiers 1

Medicaid3427577TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

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

JIN WOO PARK DMD
Dentist
1607 W HENDERSON ST STE K
CLEBURNE, TX 76033
Johnson County (817) 522-3166

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 Cleburne Dental Studio PLLC's NPI number?

The NPI number for Cleburne Dental Studio PLLC is 1952824468. It was assigned to this organization in the NPPES registry on July 18, 2017.

Where is Cleburne Dental Studio PLLC located?

Cleburne Dental Studio PLLC is located at 1607 W Henderson St Ste K, Cleburne, TX 76033. The listed phone number is (817) 522-3166.

What is Cleburne Dental Studio PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Cleburne Dental Studio PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Cleburne Dental Studio PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleburne Dental Studio PLLC was last updated on July 21, 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.