Provider Demographics
NPI:1073883864
Name:M P DENTISTRY DALLAS PLLC
Entity Type:Organization
Organization Name:M P DENTISTRY DALLAS PLLC
Other - Org Name:JUST FOR KIDS DENTAL DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:T
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-342-0425
Mailing Address - Street 1:7005 PASTOR BAILEY DR
Mailing Address - Street 2:SUITE 100-A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-2649
Mailing Address - Country:US
Mailing Address - Phone:972-296-1835
Mailing Address - Fax:817-296-1867
Practice Address - Street 1:7005 PASTOR BAILEY DR
Practice Address - Street 2:SUITE 100-A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-2649
Practice Address - Country:US
Practice Address - Phone:972-296-1835
Practice Address - Fax:817-296-1867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201471223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty