GUM SPECIALTY CENTER NPI 1275314106

NPI Information

  • NPI: 1275314106
  • Provider Name: GUM SPECIALTY CENTER
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 1010 W EXCHANGE PKWY STE 1160
    ALLEN, TX
    ZIP 75013
  • Phone: (469) 663-0393

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NPI Details

GUM SPECIALTY CENTER is a periodontics dentist in Allen, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GUM SPECIALTY CENTER NPI is 1275314106. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1010 W EXCHANGE PKWY STE 1160
ALLEN, TX
ZIP 75013-116
Phone: (469) 663-0393
Fax: (469) 663-0394

The provider's authorized official is Abena Salome Owusu-frimpong .
The authorized official title is Owner and has the following contact phone number (718) 813-4328.

The enumeration date for this NPI number is 10/6/2023 and was last updated on 10/6/2023.

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
11223D0004XDentistDentist AnesthesiologistNo
21223E0200XDentistEndodonticsNo
31223P0700XDentistProsthodonticsNo
41223P0300XDentistPeriodonticsYes

What is NPI?

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

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