Sohail Saleem Dar, DDS

Individual provider Active NPI General Practice Dentistry · Terrell, TX

NPI 1780903138 · NPPES record last updated Nov 15, 2022

Key facts

NPI
1780903138
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
25391 (TX)
Practice address
1405 W Moore Ave
Terrell, TX 75160-2303
Phone
(972) 563-8383
Fax
(972) 563-8384
NPI assigned
May 25, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25391TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Standard Dental Alliance, PLLC. Past Accepting new patients
Legacy Dental of East Dallas, PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25391 TX Yes

Addresses

Primary practice location

1405 W Moore Ave
Terrell, TX 75160-2303

Mailing address

1405 W Moore Ave
Terrell, TX 75160-2303
Phone (972) 563-8383

Other practice location 1

9208 E R L Thornton Fwy Ste 209B
Dallas, TX 75228-6103
Phone (214) 321-8383

Other practice location 2

4201 Gaston Ave Ste 102
Dallas, TX 75246-1459
Phone (214) 370-8383

Other identifiers

IdentifierTypeStateIssuer
2112658MedicaidTX

Other providers in Terrell, TX

All providers in Terrell, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.