OrganizationActive
Custom Dental of Carrollton, PLLC
NPI 1366924383 · Dental Clinic/Center · Dallas, TX
Custom Dental of Carrollton, PLLC is a Dental Clinic/Center organization in Dallas, TX (NPI 1366924383).
Provider details
- NPI number
- 1366924383
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rene Rodgers, Coo(405) 227-6100
- License
- 26171 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
17610 Midway Rd Ste 110
Dallas, TX 75287-6741
Phone: (405) 227-6100
Street-level locationGet directions
Mailing address
17610 Midway Rd Ste 110
Dallas, TX 75287-6741
Registry dates
- Enumerated
- 2018-09-06
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Frequently asked questions
- What is Custom Dental of Carrollton, PLLC's NPI number?
- Custom Dental of Carrollton, PLLC's National Provider Identifier (NPI) is 1366924383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Dental of Carrollton, PLLC?
- Custom Dental of Carrollton, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Custom Dental of Carrollton, PLLC located?
- Custom Dental of Carrollton, PLLC's practice location on file with NPPES is 17610 Midway Rd Ste 110, Dallas, TX 75287-6741.
- What is Custom Dental of Carrollton, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Dental of Carrollton, PLLC is (405) 227-6100.
- Who is the authorized official for Custom Dental of Carrollton, PLLC?
- The authorized official listed on Custom Dental of Carrollton, PLLC's NPPES record is Rene Rodgers, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Dental of Carrollton, PLLC's NPI active?
- Yes — Custom Dental of Carrollton, PLLC's NPI (1366924383) is active in the NPPES registry as of the last update on 2021-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.