NPI 1336738376 · live from the CMS NPI Registry
214 Dental PLLC
Dentist, General Practice in Grand Prairie, TX. National Provider Identifier 1336738376, active.
NPI record
| NPI | 1336738376 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2580 W Camp Wisdom Rd Ste 300, Grand Prairie, TX 75052 |
| Practice phone | 972-408-0408 |
| Mailing address | 4116 Saguaro Ln, Irving, TX 75063 |
| Enumerated | January 14, 2021 |
| Last updated | January 14, 2021 |
| Authorized official | Nilam Patel, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.