Dental Resort PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28204 Issued in TX

Legal business name

DENTAL RESORT PLLC

Practice address

2100 Dallas Pkwy
Ste 120
Plano, TX 75093-4363

Phone

(530) 400-8008

Fax

(866) 892-0774

NPI assigned

Jan 12, 2017

Organization subpart

No

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

Authorized official

Name

Shawn Nemovi, DDS

Title

Owner

Phone

(530) 400-8008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Resort Doing business as

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1962948091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DALLAS PKWY",
            "address_2": "STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934363",
            "telephone_number": "530-400-8008",
            "fax_number": "866-892-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DALLAS PKWY",
            "address_2": "STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934363",
            "telephone_number": "530-400-8008",
            "fax_number": "866-892-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL RESORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "NEMOVI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-400-8008",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1669727558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Resort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentists of Plano, PC
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• Dentspan PLLC
• Depalt Inc

• General Practice Dentistry in Plano, TX
• Providers in Plano, 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 Jan 12, 2017; 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.