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

Vintage Dental Spa PLLC

Organization General Practice Dentistry · NPI 1598068249

Vintage Dental Spa PLLC provides General Practice Dentistry in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
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

4245 N Central Expy Ste 240
Dallas, TX 75205-4581 Not confirmed with CMS for 15 years — call before visiting
Phone: (214) 520-0887
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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 22973 (TX)

Record details

NPI number1598068249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlie Carmichael — Owner · (214) 705-7272
NPI enumeratedDecember 17, 2010
Last updated in NPPESMarch 10, 2011
Mailing address4245 N Central Expy, Suite 240, Dallas, TX 75205-4581

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