Prudent Family Dentistry of Mesquite PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRUDENT FAMILY DENTISTRY OF MESQUITE PLLC

Doing business as

AZ Dental

Practice address

3434 Towne Crossing Blvd
Suite 106
Mesquite, TX 75150-2782

Phone

(972) 512-0286

NPI assigned

Jan 28, 2014

Organization subpart

No

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

Authorized official

Name

Sarabjit Khassa, D.D.S.

Title

Owner

Phone

(972) 512-0285

Specialties & licenses 1

Addresses

Other names 1

• AZ Dental Doing business as

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1922421981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY",
            "address_2": "470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 TOWNE CROSSING BLVD",
            "address_2": "SUITE 106",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502782",
            "telephone_number": "972-512-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT FAMILY DENTISTRY OF MESQUITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-512-0285",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Dental",
            "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 Aug 14, 2014; 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.