Provider Demographics
NPI:1841978855
Name:DDSTEXAS, PLLC
Entity type:Organization
Organization Name:DDSTEXAS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTAL HYGIENIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:972-245-4886
Mailing Address - Street 1:1405 W FRANKFORD RD STE 112
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-4900
Mailing Address - Country:US
Mailing Address - Phone:972-245-4886
Mailing Address - Fax:972-245-4977
Practice Address - Street 1:1405 W FRANKFORD RD STE 112
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-4900
Practice Address - Country:US
Practice Address - Phone:972-245-4886
Practice Address - Fax:972-245-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty