Asethetica Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ASETHETICA DENTAL, PC

Doing business as

WYLIE SMILES

Practice address

2014 N Highway 78 Ste 150
Wylie, TX 75098-6091

Phone

(801) 440-1488

Fax

(817) 426-3337

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Alekhya Patagarla, DDS

Title

Dentist

Phone

(972) 961-1744

Specialties & licenses 1

Addresses

Other names 1

• WYLIE SMILES Doing business as

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1093396749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 BAY CLUB DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135210",
            "telephone_number": "801-440-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 N HIGHWAY 78 STE 150",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986091",
            "telephone_number": "801-440-1488",
            "fax_number": "817-426-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASETHETICA DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "PATAGARLA",
        "authorized_official_first_name": "ALEKHYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-961-1744",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYLIE SMILES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WYLIE SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Wylie, TX
• Providers in Wylie, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.