Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinique Dallas Plastic Surgery PLLC

Organization Plastic Surgery Physician · NPI 1689808941

Clinique Dallas Plastic Surgery PLLC provides Plastic Surgery Physician services in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7777 Forest Ln Ste C212
Dallas, TX 75230-6836
Phone: (972) 566-2010
Fax: (855) 592-2934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X (TX)
Plastic Surgery Physician Taxonomy 208200000X

Record details

NPI number1689808941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Antonetti — Ceo/Surgeon · (972) 566-2010
NPI enumeratedMay 14, 2009
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address7777 Forest Ln Ste C212, Dallas, TX 75230-6836

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