NPI age
12 years
Enumerated 2013-06-19
● Active Type 2 · Organization
The Dentist Off Main, Pllc
The Dentist Off Main, Pllc is 1 of 15661 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Luczak
Ceo
Last NPPES update
2013-06-19
Source: monthly bulk 2026-05
How this organization compares
Across 15661 active dentist providers in Texas.
NPI age
12 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1245 S. Main St., Suite 100
Grapevine, TX 76051
Mailing address
1245 S. Main St., Suite 100
Grapevine, TX 76051
Authorized official
Richard Bernard Luczak, DDS, MPH
Ceo
📞 8175271590
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Lisa Shamblin, APMHNP-BC Nurse Practitioner NPI 1497996177
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 870515 | UNITED CONCORDIA |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.