| Dantam Dental Pllc | |
|
15801 Rolater Rd Suite 202 Frisco TX 75035 | |
| (469) 353-6886 | |
| (469) 353-6883 |
| Full Name | Dantam Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 15801 Rolater Rd, Frisco, Texas |
| Authorized Official Name and Position | Sowjanya Basireddygari (PRESIDENT/DENTIST) |
| Authorized Official Contact | 7038691428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dantam Dental Pllc 10914 Manuel St Frisco TX 75035-1435 Ph: (703) 869-1428 | Dantam Dental Pllc 15801 Rolater Rd Suite 202 Frisco TX 75035 Ph: (469) 353-6886 |
| NPI Number | 1942996012 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942996012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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