Divine Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26123 Issued in TX

Legal business name

DIVINE DENTAL GROUP

Doing business as

Rush Creek Dentistry

Practice address

6401 S Cooper St
#105
Arlington, TX 76001-6751

Phone

(682) 323-3299

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rami Sater, DDS

Title

Owner

Phone

(682) 323-3299

Specialties & licenses 1

Addresses

Other names 1

• Rush Creek Dentistry Doing business as

Locations

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1275888935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 S COOPER ST",
            "address_2": "#105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016751",
            "telephone_number": "682-323-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S COOPER ST",
            "address_2": "#105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016751",
            "telephone_number": "682-323-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "SATER",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-323-3299",
        "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": "26123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush Creek Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diverse Family Services, LLC
• Divine E and K Healthcare Services, Inc. (Divine E and K Healthcare Agency)
• Divine Health Care Services LLC
• Divine Light Psychiatry Services
• Divine Miracle Home Care LLC
• Divine Torch Health Services, Inc. (Divine Torch Health Services)

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, 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 28, 2013; 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.