Mysmile Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MYSMILE DENTISTRY PLLC

Practice address

3044 Old Denton Rd Ste 126
Carrollton, TX 75007-5099

Phone

(763) 772-5304

NPI assigned

Oct 19, 2023

Last updated

Oct 19, 2023By 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. Tarangini Suggala, DMDNPI 1649671751

Title

Sole Memeber/Dentist

Phone

(763) 772-5304

Specialties & licenses 1

Addresses

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.

• Tarangini Suggala

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1649671751
  NPD Authorized official

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1598547861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 ALPENROSE AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358009",
            "telephone_number": "763-772-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 126",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075099",
            "telephone_number": "763-772-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSMILE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "SUGGALA",
        "authorized_official_first_name": "TARANGINI",
        "authorized_official_title_or_position": "SOLE MEMEBER/DENTIST",
        "authorized_official_telephone_number": "763-772-5304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Mydur, M.D.
• Kevin Duane Myer, D.P.M.
• Jennifer Guadalupe Myers, DC
• Kevin R Myers, MD
• Miranda Myers
• Mysti Blu LLC
• Mysti Blu LLC
• Mysti Blu Management Group, LLC
• Mysti Blu Nursing, Inc.
• Mystic Smiles Children and Adult Dentistry

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, 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 Oct 19, 2023; 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.