NPI 1699221036 · live from the CMS NPI Registry
817 Dental PLLC
Dentist, General Practice in Cleburne, TX. National Provider Identifier 1699221036, active.
NPI record
| NPI | 1699221036 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1470 W Henderson St, Cleburne, TX 76033 |
| Practice phone | 423-946-9375 |
| Enumerated | August 26, 2016 |
| Last updated | August 26, 2016 |
| Authorized official | Rohit Narayan, Owner/Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 26309 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.