Nazanin Abolhasani, DDS
Individual provider Active NPI Dentist · Allen, TX
NPI 1992317671 · NPPES record last updated Aug 23, 2020
Key facts
- NPI
- 1992317671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 36427 (TX)
- Practice address
- 190 E Stacy Rd Ste 314
Allen, TX 75002-8738 - Phone
- (972) 678-1277
- NPI assigned
- Aug 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36427 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Dentistry, PLLC | Dentist | Current |
Accepting new patients |
Locations
1922 Belt Line Rd
Garland, TX 75044
Phone (972) 414-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36427 | TX | Yes |
Addresses
Primary practice location
190 E Stacy Rd Ste 314
Allen, TX 75002-8738
Mailing address
3500 Shadow Ridge Dr
McKinney, TX 75072-4195
Phone (469) 422-0808
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.