OrganizationActive
East Lake Dental, PLLC
NPI 1568992261 · Dental Clinic/Center · Dallas, TX
East Lake Dental, PLLC is a Dental Clinic/Center organization in Dallas, TX (NPI 1568992261).
Provider details
- NPI number
- 1568992261
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brent Desutter, Dentist(972) 559-4185
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
718 N Buckner Blvd Ste 110
Dallas, TX 75218-2764
Phone: (214) 295-8440
Street-level locationGet directions
Mailing address
718 N Buckner Blvd Ste 110
Dallas, TX 75218-2764
Registry dates
- Enumerated
- 2017-06-14
- Last updated
- 2017-10-10
Frequently asked questions
- What is East Lake Dental, PLLC's NPI number?
- East Lake Dental, PLLC's National Provider Identifier (NPI) is 1568992261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Lake Dental, PLLC?
- East Lake Dental, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is East Lake Dental, PLLC located?
- East Lake Dental, PLLC's practice location on file with NPPES is 718 N Buckner Blvd Ste 110, Dallas, TX 75218-2764.
- What is East Lake Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for East Lake Dental, PLLC is (214) 295-8440.
- Who is the authorized official for East Lake Dental, PLLC?
- The authorized official listed on East Lake Dental, PLLC's NPPES record is Brent Desutter, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Lake Dental, PLLC's NPI active?
- Yes — East Lake Dental, PLLC's NPI (1568992261) is active in the NPPES registry as of the last update on 2017-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.