Desoto Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22213 Issued in TX

Legal business name

DESOTO DENTAL PLLC

Practice address

116 W Parkerville Rd
Ste # 112
Desoto, TX 75115

Phone

(972) 750-0610

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mahesh Babu Gondi, D.M.D.

Title

President

Phone

(972) 750-0610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1275904641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PARKWOOD BLVD",
            "address_2": "#310",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938750",
            "telephone_number": "972-750-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W PARKERVILLE RD",
            "address_2": "STE # 112",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-750-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "GONDI",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-750-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Health Associates of Texas, PC
• Jasmine Nicole Denton, DC
• Dera Healthcare System Inc.
• Krunal Desai, DDS
• Designed to Thrive PLLC
• Desoto Family Care & Surgery Center
• Desoto Happy Teeth PC
• Desoto Home Healthcare,Inc.
• Desoto I Enterprises, LLC
• Desoto II Enterprises, LLC

• Dental Clinic/Center in Desoto, TX
• Providers in Desoto, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.