Ea Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EA DENTAL PLLC

Doing business as

Pura Dentistry

Practice address

2121 Northwest Hwy Ste 112
Garland, TX 75041-4851

Phone

(651) 408-5631

NPI assigned

Feb 7, 2024

Last updated

May 8, 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. Mohamed Abdel Moneim Abbass, DDS

Title

Dentist

Phone

(651) 408-5631

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pura Dentistry 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.

• Abdelrahman Eid Elkady, D.D.S.

  • Dentist
  • Forney, TX
  • NPI 1437498979
  NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1255195541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 SOUTHPOINTE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823857",
            "telephone_number": "310-909-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NORTHWEST HWY STE 112",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414851",
            "telephone_number": "651-408-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "ABBASS",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ABDEL MONEIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-408-5631",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801181102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pura Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pura Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Garland, TX
• Providers in Garland, 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 May 8, 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.