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

Clean Dental of Dallas, PC

Organization General Practice Dentistry · NPI 1912252750

Clean Dental of Dallas, PC is a General Practice Dentistry in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4907 Spring Ave
Dallas, TX 75210-1360
Phone: (214) 765-6212
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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 23653 (TX)

Record details

NPI number1912252750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sang Park — Ceo · (214) 765-6213
Other names Clean Dental
NPI enumeratedJuly 18, 2012
Last updated in NPPESJuly 18, 2012
Mailing address4402 Gus Thomasson Rd, Suite A, Mesquite, TX 75150-2232

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