Texan Teeth Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEXAN TEETH DENTAL PLLC

Practice address

1504 Aquarena Springs Dr Ste 110
San Marcos, TX 78666-7741

Phone

(830) 339-2007

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Thanuja Kularatne, DDS

Title

Owner

Phone

(512) 593-6342

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1942941653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 LAKELINE MALL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787171113",
            "telephone_number": "512-593-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 AQUARENA SPRINGS DR STE 110",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667741",
            "telephone_number": "830-339-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAN TEETH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "KULARATNE",
        "authorized_official_first_name": "THANUJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-593-6342",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Marcos, TX
• Providers in San Marcos, 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 Apr 5, 2022; 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.