Ideal Dental of Mansfield PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IDEAL DENTAL OF MANSFIELD PLLC

Practice address

12770 Merit Dr
Suite 850
Dallas, TX 75251-1209

Phone

(972) 361-0600

NPI assigned

Nov 10, 2016

Last updated

Dec 17, 2024By 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

Dr. Shalin Patel, DDS

Title

Owner

Phone

(972) 331-8067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1750823589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 MERIT DR STE 1100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 MERIT DR",
            "address_2": "SUITE 850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511209",
            "telephone_number": "972-361-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 E Broad St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "76063",
            "country_code": "US",
            "telephone_number": "682-400-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDEAL DENTAL OF MANSFIELD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHALIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.