Home Town Dental of Mesquite PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15987 Issued in TX

Legal business name

HOME TOWN DENTAL OF MESQUITE PC

Doing business as

Home Town Dental of Mesquite pc

Practice address

4224 Gus Thomasson Rd
4224 Gus Thomason
Mesquite, TX 75150-2197

Phone

(972) 698-6685

Fax

(972) 698-6688

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Monjit Guram, D.D.S.

Title

Director

Phone

(817) 528-6665

Specialties & licenses 1

Addresses

Other names 1

• Home Town Dental of Mesquite pc Doing business as

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1871615302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 GUS THOMASSON RD",
            "address_2": "4224 GUS THOMASON",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502197",
            "telephone_number": "972-698-6685",
            "fax_number": "972-698-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 GUS THOMASSON RD",
            "address_2": "4224 GUS THOMASON",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502197",
            "telephone_number": "972-698-6685",
            "fax_number": "972-698-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN DENTAL OF MESQUITE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "GURAM",
        "authorized_official_first_name": "MONJIT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-528-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Town Dental of Mesquite pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Mesquite, TX
• Providers in Mesquite, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.