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TEXAS PROSMILES PLLC NPI 1053778118


NPI Information

NPI: 1053778118
Provider Name: TEXAS PROSMILES PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9400 CLIFFORD STREET, STE 110
FORT WORTH, TX
ZIP 76108
Phone: (732) 688-5939
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TEXAS PROSMILES PLLC is a general practice dentist in Fort Worth, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TEXAS PROSMILES PLLC NPI is 1053778118. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9400 CLIFFORD STREET, STE 110
FORT WORTH, TX
ZIP 76108
Phone: (732) 688-5939

The provider's authorized official is Archana Manohar Lankupalli .
The authorized official title is Owner and has the following contact phone number (732) 688-5939.

The enumeration date for this NPI number is 1/20/2016 and was last updated on 1/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice25741TEXASNo
21223G0001XDentistGeneral Practice25821TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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