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

Custom Dental of Carrollton, PLLC

Organization Dental Clinic/Center · NPI 1366924383

Custom Dental of Carrollton, PLLC is a Dental Clinic/Center in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17610 Midway Rd Ste 110
Dallas, TX 75287-6741
Phone: (405) 227-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 26171 (TX)

Record details

NPI number1366924383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rene Rodgers — Coo · (405) 227-6100
NPI enumeratedSeptember 6, 2018
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021
Mailing address17610 Midway Rd Ste 110, Dallas, TX 75287-6741

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