Eastland Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EASTLAND DENTAL PLLC

Practice address

963 E Main St
Eastland, TX 76448-3014

Phone

(254) 488-9077

NPI assigned

Mar 7, 2021

Last updated

Mar 7, 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

Kamalpreet Shallu, DMD

Title

Owner/Dentistw

Phone

(347) 759-2152

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ankur Harshad Patel

  • Dentist
  • Eastland, TX
  • NPI 1053983023
  NPD

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615075200000",
    "number": "1750976130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 E MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764483014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 E MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764483014",
            "telephone_number": "254-488-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A",
        "authorized_official_last_name": "SHALLU",
        "authorized_official_first_name": "KAMALPREET",
        "authorized_official_title_or_position": "OWNER/DENTISTW",
        "authorized_official_telephone_number": "347-759-2152",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Kai Deluca, D.O.
• Roberto John Denny, FNP, APRN
• Doc's Drugstore of Eastland Inc
• Eastland Assisted Living Corporation (The Woodlands Assisted Living)
• Eastland Chiropractic Wellness Center PA
• Eastland Dialysis Center, LLC (Eastland Dialysis Center)
• Eastland Drug Company Incorporated (Eastland Drug Co Inc)
• Eastland Health Clinic PLLC
• Eastland Independent School District
• Eastland Memorial Hospital District (Eastland Memorial Hosptial)

• Dental Clinic/Center in Eastland, TX
• Providers in Eastland, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.