Organization Active NPI

Jewel Dental Group, PLLC

Doing business as Dental Impressions

  • General Practice Dentistry
  • Mesquite, TX
National Provider Identifier
1700296787
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22451 Issued in TX
Legal business name
JEWEL DENTAL GROUP, PLLC
Doing business as
Dental Impressions
Practice address
910 N Galloway Ave
Suite 202
Mesquite, TX 75149-2409
Phone
(682) 472-8473
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. Sweeta Walia, DMD
Title
President
Phone
(214) 862-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22451 TX Primary

Addresses

Primary practice location

910 N Galloway Ave
Suite 202
Mesquite, TX 75149-2409

Mailing address

3401 Wolfe Cir
Plano, TX 75025-2227

Other names 1

  • Dental Impressions Doing business as

National Provider Directory

National Provider Directory

Locations

910 N Galloway Ave
Ste 202
Mesquite, TX 75149
Phone (682) 472-8473

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1700296787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 WOLFE CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750252227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N GALLOWAY AVE",
            "address_2": "SUITE 202",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492409",
            "telephone_number": "682-472-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWEL DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "SWEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-862-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Impressions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.