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

Vintage Dental Spa PLLC

Organization General Practice Dentistry · NPI 1598068249

Vintage Dental Spa PLLC is a General Practice Dentistry in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
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

4245 N Central Expy Ste 240
Dallas, TX 75205-4581
Phone: (214) 520-0887
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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 22973 (TX)

Record details

NPI number1598068249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlie Carmichael — Owner · (214) 705-7272
NPI enumeratedDecember 17, 2010
Last updated in NPPESMarch 10, 2011
Mailing address4245 N Central Expy, Suite 240, Dallas, TX 75205-4581

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