DESOTO DENTAL PLLC – NPI #1275904641
Clinic/Center

DESOTO DENTAL PLLC is an AHC clinic located in DESOTO, TX. NPPES has assigned the NPI number 1275904641 to DESOTO DENTAL PLLC on October 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 10 years ago on Feb 03, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DESOTO DENTAL PLLC below.

NPI Profile for
DESOTO DENTAL PLLC

NPI Number
1275904641
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DESOTO DENTAL PLLC
Primary location
116 W PARKERVILLE RD
STE # 112
DESOTO, TX 75115
Phone: (972) 750-0610 Fax:
Mailing address
3200 PARKWOOD BLVD
#310
PLANO, TX 75093-8750
Phone: (972) 750-0610 Fax:
Organization Subpart
No
Authorized Official
MAHESH GONDI
PRESIDENT
Phone: (972) 750-0610
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 TX 22213

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.