Rusk Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RUSK DENTAL PLLC

Practice address

516 N Dickinson Dr Ste B
Rusk, TX 75785-1063

Phone

(903) 638-3200

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mona Agarwal, DDSNPI 1235417130

Title

Owner/Dentist

Phone

(423) 943-1203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mona Agarwal

  • General Practice Dentistry
  • Cleburne, TX
  • NPI 1235417130
  Authorized official Same address or phone

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1477184802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N DICKINSON DR STE B",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N DICKINSON DR STE B",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851063",
            "telephone_number": "903-638-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "423-943-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "27214",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexzandria Pope
• Jenny M Pratz
• Rodolfo Rodriguez, MD
• Donna Marie Rogers, LPC
• Haley M Rogers, FNP-C
• Rusk Family Dental PLLC
• Rusk Independent School District
• Rusk Nursing & Rehab Center LLC (Cherokee Trails Nursing Home)
• Rusk SNF LLC (Cherokee Trails Rehab & Healthcare)
• Armistia Genell Sanders

• General Practice Dentistry in Rusk, TX
• Providers in Rusk, 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 Feb 4, 2020; 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.