Synergy Dental, LLC
Organization Active NPI Dentist · Robstown, TX
NPI 1124372016 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1124372016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 24395 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Puravkumar Desai, DDS
- Title
- President
- Phone
- (201) 895-9021
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 24395 | TX | Yes |
Addresses
Primary practice location
109 E Avenue J
Robstown, TX 78380-2347
Mailing address
4401 River Valley Dr
Apt. 605
Corpus Christi, TX 78410-5250
Phone (201) 895-9021
Other providers in Robstown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.