Provider Demographics
NPI:1689280380
Name:GOLBANDI DENTISTRY PLLC
Entity Type:Organization
Organization Name:GOLBANDI DENTISTRY PLLC
Other - Org Name:TOP NOTCH DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:POUYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLBANDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-231-4887
Mailing Address - Street 1:15851 DALLAS PKWY STE 306 #444
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6330
Mailing Address - Country:US
Mailing Address - Phone:469-231-4887
Mailing Address - Fax:
Practice Address - Street 1:15851 DALLAS PKWY STE 306,#444
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6313
Practice Address - Country:US
Practice Address - Phone:469-231-4887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental