Organization Active NPI

Ddstexas, PLLC

Doing business as Divine Dental Smiles TX

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1841978855
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DDSTEXAS, PLLC
Doing business as
Divine Dental Smiles TX
Practice address
1405 W Frankford Rd Ste 112
Carrollton, TX 75007-4900
Phone
(972) 245-4886
Fax
(972) 245-4977
NPI assigned
Jul 10, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Prof. Veronica Terrell, R.D.H
Title
Dental Hygienist
Phone
(972) 245-4886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1405 W Frankford Rd Ste 112
Carrollton, TX 75007-4900

Mailing address

1405 W Frankford Rd Ste 112
Carrollton, TX 75007-4900
Phone (972) 245-4886

Other names 1

  • Divine Dental Smiles TX Doing business as

National Provider Directory

National Provider Directory

Locations

1405 W Frankford Rd
Ste 112
Carrollton, TX 75007
Phone (972) 245-4886

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1841978855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W FRANKFORD RD STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074900",
            "telephone_number": "972-245-4886",
            "fax_number": "972-245-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W FRANKFORD RD STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074900",
            "telephone_number": "972-245-4886",
            "fax_number": "972-245-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDSTEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "972-245-4886",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "R.D.H"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Dental Smiles TX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Divine Dental Smiles TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.