Provider Demographics
NPI:1184494288
Name:GENYUS GROUP PLLC
Entity type:Organization
Organization Name:GENYUS GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KUMAR
Authorized Official - Middle Name:T
Authorized Official - Last Name:VADIVEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-731-0123
Mailing Address - Street 1:1500 W HEBRON PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-6531
Mailing Address - Country:US
Mailing Address - Phone:214-731-0123
Mailing Address - Fax:214-731-1122
Practice Address - Street 1:1500 W HEBRON PKWY STE 108
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6531
Practice Address - Country:US
Practice Address - Phone:214-731-0123
Practice Address - Fax:214-731-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty