P Praxis·MD
● Active Type 2 · Organization

Grand Prairie Modern Dentistry, Pc

Dentist·Grand Prairie, TX· NPI 1952946279 · Enumerated 2019 · 6 years on NPI
Grand Prairie Modern Dentistry, Pc is 1 of 9237 dentist organizations in Texas.
NPI age
6 years
Enumerated 2019-11-11
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roberts
Owner
Last NPPES update
2022-04-13
Source: monthly bulk 2026-05

How this organization compares

Across 9237 active dentist providers in Texas.

NPI age
6 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-11Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
1215 Arkansas Ln Ste 100
Grand Prairie, TX 750527276
📞 4697012344
Mailing address
Po Box 920050
Dallas, TX 753920050
📞 7148458890fax 9494741495

Authorized official

Jeffrey L Roberts, DMD
Owner
📞 4697012344

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    taxonomy 122300000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Grand Prairie Modern Dentistry
    Type code 3 recorded 2022-04-13
  • Grand Prairie Modern Dentistry
    Type code 3 recorded 2019-11-11

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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