Provider Demographics
NPI:1295360972
Name:ARISE DENTAL PLLC
Entity Type:Organization
Organization Name:ARISE DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VINEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:903-730-6076
Mailing Address - Street 1:879 US HIGHWAY 271 N STE 100
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-5580
Mailing Address - Country:US
Mailing Address - Phone:903-730-6076
Mailing Address - Fax:903-471-3420
Practice Address - Street 1:879 US HIGHWAY 271 N STE 100
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75644-5580
Practice Address - Country:US
Practice Address - Phone:903-730-6076
Practice Address - Fax:903-471-3420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX30165OtherTEXAS STATE BOARD OF DENTAL EXAMINERS