# DENTAL INNOVATION OF PLANO

> 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
- **Other names:** TEXAS DENTAL SPECIALISTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790352920
- **Authorized official:** DR. OMAR YOUSUF DDS (OWNER)
- **Authorized official phone:** (504) 237-3558

## Contact information

- **Practice address:** 5940 W PARKER RD STE 103, PLANO, TX 75093-6404
- **Practice address phone:** (214) 619-6329
- **Mailing address:** 2012 SOUTHLAKE GLEN DR, SOUTHLAKE, TX 76092-1422
- **Mailing address phone:** (504) 237-3558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2021
- **Last updated:** 01/07/2025