Gatesville Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27214 Issued in TX

Legal business name

GATESVILLE DENTAL PLLC

Practice address

2416 S State Highway 36
Gatesville, TX 76528-2518

Phone

(254) 216-2612

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mona Agarwal, DDSNPI 1235417130

Title

Owner/Dentist

Phone

(423) 943-1203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mona Agarwal

  • General Practice Dentistry
  • Cleburne, TX
  • NPI 1235417130
  NPD (past) Authorized official

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1235636960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 CEDAR BRUSH DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 S STATE HIGHWAY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282518",
            "telephone_number": "254-216-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATESVILLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "423-943-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF DENTAL EXAMINERS",
            "identifier": "27214",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert B Edwards, DDS
• Lance A. Ellis, DO
• Allyson Ann Epps
• Stonie Colt Ferrell
• Kyle Floyd, RN
• Gatesville Drug Company, LTD (Gatesville Drug Co Ltd)
• Gatesville Eye Care (Vision Concepts)
• Gatesville Family Dental, ,P.C.
• Kevin Wayne George, PHARM D
• Mark H Gibby, M.D.

• General Practice Dentistry in Gatesville, TX
• Providers in Gatesville, 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 Apr 9, 2018; 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.