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

Grand Prairie Modern Dentistry, PC

Organization Dentist · NPI 1952946279

Grand Prairie Modern Dentistry, PC is a Dentist in Grand Prairie, Texas. Registered with an NPI since 2019.

In the registry since
2019
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

1215 Arkansas Ln Ste 100
Grand Prairie, TX 75052-7276
Phone: (469) 701-2344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1952946279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Roberts — Owner · (469) 701-2344
Other names Grand Prairie Modern Dentistry; Grand Prairie Modern Dentistry
NPI enumeratedNovember 11, 2019
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

Other providers in Grand Prairie