DESOTO DENTAL PLLC NPI 1275904641

NPI Information

  • NPI: 1275904641
  • Provider Name: DESOTO DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 116 W PARKERVILLE RD
    STE # 112
    DESOTO, TX
    ZIP 75115
  • Phone: (972) 750-0610

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NPI Details

DESOTO DENTAL PLLC is a dental clinic center in Desoto, TX. DESOTO DENTAL PLLC NPI is 1275904641. The provider is registered as an organization entity type.

The provider's business location address is:

116 W PARKERVILLE RD
STE # 112
DESOTO, TX
ZIP 75115
Phone: (972) 750-0610

The provider's authorized official is Mahesh Babu Gondi .
The authorized official title is President and has the following contact phone number (972) 750-0610.

The enumeration date for this NPI number is 10/12/2015 and was last updated on 2/3/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental22213TEXASYes

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: 11/21/2025

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