Provider Demographics
NPI:1922666916
Name:JD MESQUITE DENTAL PLLC
Entity Type:Organization
Organization Name:JD MESQUITE DENTAL PLLC
Other - Org Name:INSPIRE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DASHANKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-752-6210
Mailing Address - Street 1:11203 LAKE JUNE RD #120
Mailing Address - Street 2:
Mailing Address - City:BALCH SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75180
Mailing Address - Country:US
Mailing Address - Phone:972-752-6210
Mailing Address - Fax:972-629-6905
Practice Address - Street 1:909 TRIPP RD STE 190
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150
Practice Address - Country:US
Practice Address - Phone:972-752-6210
Practice Address - Fax:972-629-6905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty