Tranquility Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

21944 Issued in TX

Legal business name

TRANQUILITY DENTAL, PLLC

Practice address

697 E State Highway 121
Coppell, TX 75019-7951

Phone

(972) 315-2345

Fax

(972) 315-0307

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jenel Gibbs

Title

Owner/Dentist

Phone

(972) 315-2345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1689044612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 E STATE HIGHWAY 121",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197951",
            "telephone_number": "972-315-2345",
            "fax_number": "972-315-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 E STATE HIGHWAY 121",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197951",
            "telephone_number": "972-315-2345",
            "fax_number": "972-315-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JENEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "972-315-2345",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Coppell, TX
• Providers in Coppell, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.