DR. BRIAN OZENBAUGH D.D.S. NPI 1700099942

NPI Information

NPI: 1700099942
Provider Name: DR. BRIAN OZENBAUGH, D.D.S.
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
PECOS Registration: Yes
Address: 1420 W MOCKINGBIRD LN
SUITE 500
DALLAS, TX
ZIP 75247
Phone: (214) 630-7080

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NPI Details

DR. Brian Ozenbaugh, D.D.S. is a general practice dentist in Dallas, TX. The provider is 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. DR. Brian Ozenbaugh, D.D.S. NPI is 1700099942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1420 W MOCKINGBIRD LN
SUITE 500
DALLAS, TX
ZIP 75247-931
Phone: (214) 630-7080
Fax: (214) 630-7085

The NPI 1700099942 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 5/7/2007 and was last updated on 8/18/2008.

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
1	1223G0001X	Dentist	General Practice	9609	COLORADO	No
2	1223G0001X	Dentist	General Practice	23180	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	184248601	MEDICAID	TEXAS
2	23180	OTHER	TEXAS	CHIP NUMBER

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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