Levelland Dental PLLC

Organization Active NPI General Practice Dentistry · Levelland, TX

NPI 1255867701 · NPPES record last updated May 3, 2017

Key facts

NPI
1255867701
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
24365 (TX)
Legal business name
LEVELLAND DENTAL PLLC
Practice address
501 E State Highway 114
Levelland, TX 79336
Phone
(806) 897-0010
NPI assigned
May 3, 2017
Organization subpart
No

Authorized official

Name
Gaurav Puri
Title
Owner/Dentist
Phone
(806) 897-0010

National Provider Directory

Locations

501 E State Highway 114
Levelland, TX 79336
Phone (806) 897-0010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 24365 TX Yes

Addresses

Primary practice location

501 E State Highway 114
Levelland, TX 79336

Mailing address

501 E State Highway 114
Levelland, TX 79336
Phone (806) 897-0010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2017.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1255867701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E STATE HIGHWAY 114",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "79336",
            "telephone_number": "806-897-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E STATE HIGHWAY 114",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "79336",
            "telephone_number": "806-897-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVELLAND DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "806-897-0010"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levelland, TX

All providers in Levelland, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.