Organization · NPI-2

Dental Depot Of Highland Village

Dentist · Highland Village, TX

NPI number1669927307
StatusActive
Last updated in NPPESNov 25, 2019

Details

NPI
1669927307
Entity type
Organization (NPI-2)
Legal business name
Dental Depot Of Highland Village
Organization subpart
Yes
Enumeration date
Aug 23, 2016
Last updated
Nov 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist–TXYes

Other names

  • Dental Depot (Other Name)

Practice location

2460 Fm 407
Highland Village, TX 75077-3091

Phone 972-966-1234 · Fax 972-966-1233

Mailing address

Po Box 561205
The Colony, TX 75056

Phone 972-703-2525 · Fax 972-332-0141

Authorized official

Himesh I Kana
Ceo
9727032525

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Highland Village, TX