NPI age
19 years
Enumerated 2007-01-04
● Active Type 2 · Organization
Primary Dental Clinic, P.A.
Primary Dental Clinic, P.A. 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
Bui
Secretary
Last NPPES update
2014-03-20
Source: monthly bulk 2026-05
How this organization compares
Across 15661 active dentist providers in Texas.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
6871 Shadybrook Ln
Dallas, TX 752316605
Mailing address
1906 Village Creek Dr
Garland, TX 750403946
Authorized official
Kim Bui, DDS
Secretary
📞 4699396691
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kim Bui, DDS Dentist NPI 1134234123
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 (TX) | 21598 | SBDE TX DENTIST PROVIDER NUMBER |
| 01 (TX) | B21598-01 | TEXAS CHIP |
| 05 (TX) | 176322901 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Primary Dental Clinic
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.