OrganizationActive
Primary Dental Clinic, P.A.
NPI 1669529798 · General Practice Dentistry · Dallas, TX
Provider details
- NPI number
- 1669529798
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kim Bui, Secretary(469) 939-6691
- License
- 21598 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6871 Shadybrook Ln
Dallas, TX 75231-6605
Phone: (469) 939-6691
Street-level locationGet directions
Mailing address
1906 Village Creek Dr
Garland, TX 75040-3946
Other names (DBA / former)
- Doing business as
- Primary Dental Clinic
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2014-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.