NPI age
15 years
Enumerated 2010-08-04
● Active Type 2 · Organization
Modern Dental
Modern Dental is 1 of 1762 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kim
President
Last NPPES update
2010-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 1762 active clinic/center providers in Texas.
NPI age
15 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-08Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
3610 Shire Blvd, Suite 204
Richardson, TX 750822241
Mailing address
3610 Shire Blvd, Suite 204
Richardson, TX 750822241
Authorized official
Mitchell Kim, D.D.S.
President
📞 9725786633
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mark Jaffe, MD Specialist NPI 1841271160
- Mitchell Kim, D.D.S. Dentist NPI 1437275047
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers 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.