OrganizationActive
Longevity Dental
NPI 1669989240 · Dental Clinic/Center · Rockwall, TX
Provider details
- NPI number
- 1669989240
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Evans, Sole Mbr(972) 771-0977
- License
- 17186 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
510 Turtle Cove Blvd Ste 107
Rockwall, TX 75087-5374
Phone: (972) 771-0977
Street-level locationGet directions
Mailing address
510 Turtle Cove Blvd Ste 107
Rockwall, TX 75087-5374
Registry dates
- Enumerated
- 2018-01-05
- Last updated
- 2018-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.