Advanced Family Dental of Midlothian Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADVANCED FAMILY DENTAL OF MIDLOTHIAN INC

Doing business as

Advanced Family Dental of Midlothian

Practice address

2021 S 14TH St Ste 150
Midlothian, TX 76065-7302

Phone

(972) 544-0570

Fax

(972) 544-0579

NPI assigned

Mar 2, 2023

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Praveen Varkey, DDS

Title

Owner

Phone

(214) 724-6651

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Family Dental of Midlothian 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, and the practitioner matching its NPPES authorized official.

• Praveen G Kottackal- Varkey, DDS

  • General Practice Dentistry
  • Desoto, TX
  • NPI 1700048337
  NPD

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1962101600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S 14TH ST STE 150",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657302",
            "telephone_number": "972-544-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S 14TH ST STE 150",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657302",
            "telephone_number": "972-544-0570",
            "fax_number": "972-544-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY DENTAL OF MIDLOTHIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "VARKEY",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-724-6651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE",
            "identifier": "1497391627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Dental of Midlothian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucinda Dee Able, LPC
• Bukola Oluseyi Abolarin, NURSE PRACTITIONER
• Abundant Hands Inc.
• Jessica D. Acuff, MSN, NP-C
• Olufunmilayo A Adeyemo, FNP-C
• Aesthetic & Implant Dentistry
• Kelli Diann Ainsworth
• Blandine Mangi Akonji, RPH
• Noora Al Janabi, PHARM D
• Omolara Alamudun, PMHNP

• General Practice Dentistry in Midlothian, TX
• Providers in Midlothian, 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 Mar 2, 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.