Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canyon Creek Family Dentistry, PA

Organization General Practice Dentistry · NPI 1659502730

Canyon Creek Family Dentistry, PA is a General Practice Dentistry in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2091 N Collins Blvd Ste 100
Richardson, TX 75080-2636
Phone: (972) 644-3800
Fax: (972) 644-3888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 20074 (TX)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 24260 (TX)

Record details

NPI number1659502730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Afshin Azmoodeh — President · (972) 644-3800
NPI enumeratedAugust 6, 2009
Last updated in NPPESAugust 6, 2009
Mailing address2091 N Collins Blvd Ste 100, Richardson, TX 75080-2636

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