Dentist Tree PC

Primary specialty

DentistTaxonomy code 122300000X

License

26239 Issued in TX

Legal business name

DENTIST TREE PC

Practice address

921 South Erby Campbell Blvd
Ste 500
Royse City, TX 75189

Phone

(703) 338-9735

NPI assigned

Jun 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Praveena Seetharam Shetty, DMD

Title

President

Phone

(703) 338-9735

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1740631613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 SAXON WAY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135825",
            "telephone_number": "703-338-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SOUTH ERBY CAMPBELL BLVD",
            "address_2": "STE 500",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "75189",
            "telephone_number": "703-338-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST TREE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "SEETHARAM SHETTY",
        "authorized_official_first_name": "PRAVEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-338-9735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Davong, FNP-BC
• Roger Earl Dawson
• Dci
• Laressa Elaine Dent
• Dental Family Circle - Royse City PLLC
• Dera Wellness LLC
• Cerena Derrick
• Divine Path Ranch
• Kelsey Dosser, OT
• Gloria F Dukes, LMFT

• Dentist in Royse City, TX
• Providers in Royse City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.