Amerismiles Dental of Grand Praire PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

25949 Issued in TX

Legal business name

AMERISMILES DENTAL OF GRAND PRAIRE PLLC

Practice address

1030 N Carrier Pkwy
Grand Prairie, TX 75050-3301

Phone

(603) 233-1889

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Suman Reddy Nalla, DMD

Title

President

Phone

(603) 233-1889

Specialties & licenses 1

Addresses

Other names 1

• AmeriSmiles Dental Doing business as

Locations

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1902192289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750503301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750503301",
            "telephone_number": "603-233-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERISMILES DENTAL OF GRAND PRAIRE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "NALLA",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-233-1889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmeriSmiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.