DENTAL DELITE PG PA NPI 1700665601

NPI Information

  • NPI: 1700665601
  • Provider Name: DENTAL DELITE PG PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 8222 BRUTON RD
    DALLAS, TX
    ZIP 75217
  • Phone: (214) 398-1234

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NPI Details

DENTAL DELITE PG PA 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. DENTAL DELITE PG PA NPI is 1700665601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8222 BRUTON RD
DALLAS, TX
ZIP 75217-902
Phone: (214) 398-1234
Fax: (866) 610-0446

The provider's authorized official is Dominique Valladarez .
The authorized official title is General Manager and has the following contact phone number (214) 398-1234.

The enumeration date for this NPI number is 9/28/2023 and was last updated on 9/28/2023.

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
11223G0001XDentistGeneral PracticeYes

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
11477937167MEDICAIDTEXAS
21346978376MEDICAIDTEXAS
31497443980MEDICAIDTEXAS

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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