MEDICARE: DENTAL DELITE OF DUNCANVILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	13654	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558528158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL DELITE OF DUNCANVILLE

Provider Business Mailing Address
First Line	:	938 E HIGHWAY 67
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-2706
Country	:	US
Telephone Number	:	972-572-5990
Fax Number	:	972-572-5994

Provider Business Practice Location Address
First Line	:	938 E HIGHWAY 67
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-2706
Country	:	US
Telephone Number	:	972-572-5990
Fax Number	:	972-572-5994

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	VALERIE BOHANNAN
Credential	:
Telephone Number	:	972-572-5990

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	03/11/2013

Similar Medicare Providers

1942200662 — DR. DAN ELWIN JONES D.P.M
Practice Location Address:

938 E HIGHWAY 67
DUNCANVILLE, TX
75137-2706

Practice Phone: 972-572-5990
Practice Fax: 972-572-5994

1598722662 — AFRIDI HEART CARE, P.L.L.C.
Practice Location Address:

916 E HIGHWAY 67
DUNCANVILLE, TX
75137-2706

Practice Phone: 214-942-5511
Practice Fax: 214-942-5512

1861459927 — DR. IMRAN AFRIDI M.D.
Practice Location Address:

916 E HIGHWAY 67
DUNCANVILLE, TX
75137-2706

Practice Phone: 214-942-5511
Practice Fax: 214-942-5512

1376745711 — GAURAV GUPTA M.D.
Practice Location Address:

916 E HIGHWAY 67
DUNCANVILLE, TX
75137-2706

Practice Phone: 214-942-5511
Practice Fax: 214-942-5512

1104064781 — PRIMEWORLD MEDICAL INC
Practice Location Address:

334 E CAMP WISDOM RD
DUNCANVILLE, TX
75116-2706

Practice Phone: 972-709-1670
Practice Fax: 972-709-1667

1871924993 — LIFE SKILLS CENTER FOR ADULTS
Practice Location Address:

328 E CAMP WISDOM RD
DUNCANVILLE, TX
75116-2706

Practice Phone: 972-709-3448
Practice Fax:

Directions to “DENTAL DELITE OF DUNCANVILLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.