DR. MICHAEL ROBERT PACE D.D.S. NPI 1023437209

NPI Information

  • NPI: 1023437209
  • Provider Name: DR. MICHAEL ROBERT PACE, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1612 LANCASTER DR
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 993-6512

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NPI Details

DR. Michael Robert Pace, D.D.S. is an oral and maxillofacial surgery dentist in Grapevine, TX with 11 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Michael Robert Pace, D.D.S. NPI is 1023437209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
Graduation Year:2014

The provider's business location address is:

1612 LANCASTER DR
GRAPEVINE, TX
ZIP 76051-544
Phone: (817) 993-6512
Fax: (817) 488-4483

The NPI 1023437209 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/15/2014 and was last updated on 2/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
21223S0112XDentistOral and Maxillofacial Surgery36004TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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