Synergy Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

24395 Issued in TX

Legal business name

SYNERGY DENTAL, LLC

Practice address

109 E Avenue J
Robstown, TX 78380-2347

Phone

(361) 387-1531

Fax

(361) 767-8802

NPI assigned

Oct 31, 2012

Last updated

Oct 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Puravkumar Desai, DDS

Title

President

Phone

(201) 895-9021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1124372016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 RIVER VALLEY DR",
            "address_2": "APT. 605",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105250",
            "telephone_number": "201-895-9021",
            "fax_number": "361-767-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E AVENUE J",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783802347",
            "telephone_number": "361-387-1531",
            "fax_number": "361-767-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PURAVKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-895-9021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Michelle Seward, LPC
• Abel Silguero, COTA
• Deborah S Skoruppa, FNP-C
• South Texas Family Planning & Health Corporation (Family Planning Clinic - Robstown)
• SSC Robstown Operating Company LLC (Retama Manor Nursing Center - Robstown)
• Tamika Tellez, NP
• Texas Family Wellness Clinic, Inc.
• Corando Rios Trevino, PHARMACIST
• Unityfamilyproviders
• Thelma Teresa Vasquez, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.