Prime Demtal Texas PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRIME DEMTAL TEXAS PLLC

Doing business as

5 Star Dental

Practice address

8247 Rufe Snow Dr Ste 100
Watauga, TX 76148-1128

Phone

(817) 203-0085

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By 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. Nilam Patel, DDS

Title

Owner

Phone

(267) 495-7393

Specialties & licenses 1

Addresses

Other names 1

• 5 STAR DENTAL Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shweta G Pattanad, DMD

  • General Practice Dentistry
  • Watauga, TX
  • NPI 1013476902
  NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1205698727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8247 RUFE SNOW DR STE 100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481128",
            "telephone_number": "817-203-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8247 RUFE SNOW DR STE 100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481128",
            "telephone_number": "817-203-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DEMTAL TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-495-7393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5 STAR DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shailesh Patel, DDS
• Shweta G Pattanad, DMD
• Chau N Pham, DO
• Hai X Pham, DDS
• Melody Ann Pratt, LPC
• Professional Dental Alliance of Texas, PLLC
• Leah Ramirez, PHARMD
• Rehab Recovery Perform Chiropractic PLLC
• Oriana Reid, MS, BCBA, LBA
• Debra Lynn Rogers, LPC

• General Practice Dentistry in Watauga, TX
• Providers in Watauga, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.