South Dallas Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH DALLAS DENTAL PLLC

Practice address

6181 Bonnie View Rd # 100
Dallas, TX 75241-5149

Phone

(972) 645-4051

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Melissa Sigman

Title

Director of Operations

Phone

(972) 523-0420

Specialties & licenses 1

Addresses

Other names 1

• Bonnie View Dental Doing business as

Locations

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1083306807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E ELDORADO PKWY STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6181 BONNIE VIEW RD # 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752415149",
            "telephone_number": "972-645-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DALLAS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SIGMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "972-523-0420"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonnie View Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tarek O Souryal
• Donna H Sousa, MLP NP
• South Buckner Family Dentistry, PLLC
• South Carolina Outpatient Services, P.C.
• South Dallas Counseling
• South Dallas Eyecare
• South Dallas Medical Center Inc
• South Dallas Sleep Center LLC
• South Dallas Therapy
• South First Dental of Oakcliff

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.