# ACCESS DENTAL OF ILLINOIS PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639449358
- **Authorized official:** CAROLYN MAI TRIEU DMD (OWNER)
- **Authorized official phone:** (214) 337-7200

## Contact information

- **Practice address:** 2304 W ILLINOIS AVE, DALLAS, TX 75224
- **Practice address phone:** (214) 337-7200
- **Mailing address:** 2304 W ILLINOIS AVE, DALLAS, TX 75224
- **Mailing address phone:** (214) 337-7200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21449 | TX | Yes |

## Other

- **Enumeration date:** 01/11/2012
- **Last updated:** 01/11/2012