Organization Active NPI

P&G Dental PLLC

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1043096423
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
P&G DENTAL PLLC
Practice address
4050 S Collins St Ste 300
Arlington, TX 76014-4111
Phone
(817) 476-7738
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shitalben Patel, DMDNPI 1992957765
Title
Dentist
Phone
(312) 480-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4050 S Collins St Ste 300
Arlington, TX 76014-4111

Mailing address

10503 Torino Dr
Frisco, TX 75035-8030
Phone (312) 480-6002

National Provider Directory

National Provider Directory

Locations

4050 S Collins St
Ste 300
Arlington, TX 76014
Phone (817) 476-7738

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1043096423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 TORINO DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358030",
            "telephone_number": "312-480-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 S COLLINS ST STE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760144111",
            "telephone_number": "817-476-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&G DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHITALBEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-480-6002",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.