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ANDES DENTAL PLLC NPI 1346759487


NPI Information

NPI: 1346759487
Provider Name: ANDES DENTAL PLLC

Doing Business As: ODESSA FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1157 E 42ND ST STE A
ODESSA, TX
ZIP 79762
Phone: (432) 242-6666
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ANDES DENTAL PLLC is a general practice dentist in Odessa, 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. ANDES DENTAL PLLC NPI is 1346759487. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Odessa Family Dental.

The provider's business location address is:

1157 E 42ND ST STE A
ODESSA, TX
ZIP 79762-723
Phone: (432) 242-6666
Fax: (832) 379-5175

The provider's authorized official is Keerthi Miryala .
The authorized official title is Member and has the following contact phone number (832) 762-1914.

The enumeration date for this NPI number is 9/20/2017 and was last updated on 7/21/2022.


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 PracticeYes

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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