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NPI 1952824468
● Active Type 2 · Organization
Cleburne Dental Studio Pllc
Dentist · Cleburne, TX · NPI 1952824468
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Enumerated 2017 · 8 years on NPI
Cleburne Dental Studio Pllc is 1 of 15661 dentist organizations in Texas.
NPI age
8 years
Enumerated 2017-07-18
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Park
Owner Dentist
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 15661 active dentist providers in Texas.
NPI age
8 years
↓ 6 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2017 → 2026
2017-07 Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1607 W Henderson St Ste K
Cleburne, TX 760334179
📞 8175223166
Mailing address
1607 W Henderson St Ste K
Cleburne, TX 760334179
📞 8175223166
Additional practice locations
1 secondary location on file with NPPES.
Location 2
310 Harmony Hill Rd
Grapevine, TX 760511134
📞 2672102725
Authorized official
Jin Park, DMD
Owner Dentist
📞 8175223166
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Dentist
Primary
A 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.
TX license #29792 taxonomy 1223G0001X
Identifiers
Type Value Notes
05 (TX)
3427577
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.