Dna Dental Associates PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

DNA DENTAL ASSOCIATES PLLC

Practice address

610 Uptown Blvd Ste 3100
Cedar Hill, TX 75104-3535

Phone

(469) 272-6792

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By 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

Russell D Taylor III, DDS

Title

Owner / Dentist

Phone

(469) 272-6792

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1700559416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 3100",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 3100",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043535",
            "telephone_number": "469-272-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "469-272-6792",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1124387683",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dnaendo@gmail.com",
            "affiliation": "N",
            "address_1": "610 Uptown Blvd Ste 3100",
            "city": "Cedar Hill",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751043535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Endodontics in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.