Dantam Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DANTAM DENTAL PLLC

Practice address

15801 Rolater Rd
Suite 202
Frisco, TX 75035

Phone

(469) 353-6886

Fax

(469) 353-6883

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sowjanya Basireddygari, DMDNPI 1942723507

Title

President/Dentist

Phone

(703) 869-1428

Specialties & licenses 1

Addresses

Other names 1

• SHINESTAR DENTAL CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sowjanya Basireddygari, DMD

  • Dentist
  • Frisco, TX
  • NPI 1942723507
  NPD Authorized official

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1942996012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10914 MANUEL ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351435",
            "telephone_number": "703-869-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 ROLATER RD",
            "address_2": "SUITE 202",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "469-353-6886",
            "fax_number": "469-353-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANTAM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "BASIREDDYGARI",
        "authorized_official_first_name": "SOWJANYA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "703-869-1428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHINESTAR DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ericka Renee Daniels
• Samantha Daniels, FNP-BC
• Josephine D Danna, DDS
• Tyler Danner
• Lindsay Danns, PA-C
• Samona Dantzler, LE
• Dany Hanna DO, PLLC
• Alisha Daredia, APRN, FNP-BC
• Amber Daughrity, LPC ASSOCIATE
• Shaniiq Divine Davenport, MT-BC

• Dentist in Frisco, TX
• Providers in Frisco, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.