Active NPI
Denison Dental PLLC
- General Practice Dentistry
- Denison, TX
National Provider Identifier
1801255088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28186
- Legal business name
- DENISON DENTAL PLLC
- Practice address
- 3515 West FM 120
Denison, TX 75020 - Phone
- (801) 515-0445
- NPI assigned
- Feb 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ravindranath Reddy
- Title
- Director/Owner
- Phone
- (801) 515-0445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28186 | TX | Primary |
Addresses
Primary practice location
3515 West FM 120
Denison, TX 75020
Mailing address
3515 West FM 120
Denison, TX 75020
National Provider Directory
National Provider DirectoryLocations
3515 W FM 120
Denison, TX 75020
Phone (801) 515-0445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455667200000",
"number": "1801255088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 WEST FM 120",
"city": "DENISON",
"state": "TX",
"postal_code": "75020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 WEST FM 120",
"city": "DENISON",
"state": "TX",
"postal_code": "75020",
"telephone_number": "801-515-0445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENISON DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "RAVINDRANATH",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "801-515-0445"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.