The Dentist Off Main, Pllc is a Dental Clinic in Grapevine, Texas. It is located at 1245 S. Main St., Suite 100, Grapevine, TX and its contact number is 817-527-1590. The authorized person for The Dentist Off Main, Pllc is Mr. Richard Bernard Luczak
who is Ceo of the clinic and their contact number is 817-527-1590. The primary license number for The Dentist Off Main, Pllc is 19398 (General Practice) in Texas.
The Dentist Off Main, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
The Dentist Off Main, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | The Dentist Off Main, Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1245 S. Main St., Suite 100, Grapevine,
Texas, 76051 |
| Phone: | 817-527-1590 |
| Fax: | 940-497-3010 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Richard Bernard Luczak |
| Position: | Ceo |
| Contact Number: | 817-527-1590 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for The Dentist Off Main, Pllc clinic are as mentioned below.
| NPI Number: | 1396184693 |
| NPI Enumeration Date: | 19 Jun, 2013 |
| NPI Last Update On: | 19 Jun, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Dentist Off Main, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 19398 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 870515 | Other | | United Concordia |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | The Dentist Off Main, Pllc
1245 S. Main St., Suite 100
Grapevine, Texas |
| Zip: | 76051 |
| Phone Number: | 817-527-1590 |
| Fax Number: | 940-497-3010 |
Patients can reach The Dentist Off Main, Pllc at
1245 S. Main St., Suite 100, Grapevine, Texas or can
call to book an appointment on 817-527-1590.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.