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

Primary Dental Clinic, PA

Organization General Practice Dentistry · NPI 1669529798

Primary Dental Clinic, PA provides General Practice Dentistry in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6871 Shadybrook Ln
Dallas, TX 75231-6605 Not confirmed with CMS for 12 years — call before visiting
Phone: (469) 939-6691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 21598 (TX)

Record details

NPI number1669529798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Bui — Secretary · (469) 939-6691
Other names Primary Dental Clinic
NPI enumeratedJanuary 4, 2007
Last updated in NPPESMarch 20, 2014
Mailing address1906 Village Creek Dr, Garland, TX 75040-3946

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