Healthcare Provider Details

I. General information

NPI: 1437014032
Provider Name (Legal Business Name): DUNCANVILLE DENTURES AND DENTAL IMPLANTS, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W WHEATLAND RD
DUNCANVILLE TX
75116-4619
US

IV. Provider business mailing address

403 W WHEATLAND RD
DUNCANVILLE TX
75116-4619
US

V. Phone/Fax

Practice location:
  • Phone: 817-496-2343
  • Fax: 877-287-4313
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: KARINA DAVILA
Title or Position: MANAGER
Credential:
Phone: 682-260-9480