Greenville Endodontics, P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

GREENVILLE ENDODONTICS, P.A.

Practice address

4501 Joe Ramsey Blvd E Ste 210
Greenville, TX 75401-7836

Phone

(903) 454-0123

NPI assigned

Nov 10, 2010

Last updated

Nov 10, 2010By 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

Mrs. Kavita Doddamane, DDS, MS

Title

President

Phone

(214) 801-8216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1407157225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUNCREEK DR STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133672",
            "telephone_number": "903-454-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 JOE RAMSEY BLVD E STE 210",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017836",
            "telephone_number": "903-454-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE ENDODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "DODDAMANE",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-801-8216",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Greenville Isd

• Endodontics in Greenville, TX
• Providers in Greenville, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.