I&a Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

I&A DENTAL PLLC

Doing business as

Palm Tree Dental

Practice address

2334 State Highway 361 Ste 162
Ingleside, TX 78362-4143

Phone

(361) 777-0700

NPI assigned

Aug 29, 2019

Last updated

Jun 21, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

I&A DENTAL PLLCAs reported in NPPES

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

Authorized official

Name

Tejas Patel, DMD

Title

Owner

Phone

(551) 208-7289

Specialties & licenses 2

Addresses

Other names 1

• Palm Tree Dental Doing business as

Tax ID family

Ia Dental PLLC2 organizations share this tax ID, including this one

Part of

Ia Dental PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• I&a Dental PLLC

  dba Robstown Smiles

  • General Practice Dentistry
  • Robstown, TX
  • NPI 1609424910
  NPD tax ID

Locations

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1336797638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 STATE HIGHWAY 361 STE 162",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783624143",
            "telephone_number": "361-238-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 STATE HIGHWAY 361 STE 162",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783624143",
            "telephone_number": "361-777-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I&A DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I&A DENTAL PLLC",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-208-7289",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Tree Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• C. Fred Glazener, D.D.S.
• Vanessa Gonzales, RN
• Sherri Lynn Hendon-Shouse, PTA
• Douglas Neil Holleman Sr.
• Jason Hunt, IDC
• Ingleside Dentistry
• Ingleside Medical & Aesthetics PLLC
• Inglesie Isd
• Lupita Jasso
• Jerry's Pharmacy, LTD

• General Practice Dentistry in Ingleside, TX
• Providers in Ingleside, 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 Jun 21, 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.