OrganizationActive
Fresh Dental-Shreveport
NPI 1073880639 · Dentist · Irving, TX
Fresh Dental-Shreveport is a Dentist organization in Irving, TX (NPI 1073880639).
Provider details
- NPI number
- 1073880639
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mary Pu, Vp of Finance(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7301 State Highway 161 Ste 198
Irving, TX 75039-2880
Phone: (972) 869-3789
Fax: (972) 869-3791
Approximate (ZIP-level) locationGet directions
Mailing address
7301 State Highway 161 Ste 198
Irving, TX 75039-2880
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2011-11-28
Frequently asked questions
- What is Fresh Dental-Shreveport's NPI number?
- Fresh Dental-Shreveport's National Provider Identifier (NPI) is 1073880639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fresh Dental-Shreveport?
- Fresh Dental-Shreveport is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Fresh Dental-Shreveport located?
- Fresh Dental-Shreveport's practice location on file with NPPES is 7301 State Highway 161 Ste 198, Irving, TX 75039-2880.
- What is Fresh Dental-Shreveport's phone number?
- The practice phone number listed in the NPPES registry for Fresh Dental-Shreveport is (972) 869-3789.
- Who is the authorized official for Fresh Dental-Shreveport?
- The authorized official listed on Fresh Dental-Shreveport's NPPES record is Mary Pu, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fresh Dental-Shreveport's NPI active?
- Yes — Fresh Dental-Shreveport's NPI (1073880639) is active in the NPPES registry as of the last update on 2011-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.