LEGACY DENTAL OF EAST DALLAS, PLLC (NPI# 1538502786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538502786 |
| Entity Type | Organization |
| Organization Name | LEGACY DENTAL OF EAST DALLAS, PLLC |
| Practice Address |
4201 Gaston Ave Suite102 Dallas TX 75246-1400 |
| Practice Telephone | 2143708383 |
| Practice Fax Number | 2143708384 |
| Mailing Telephone | 2143708383 |
| Mailing Fax Number | 2143708384 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |
| Authorized Official Name | SOHAIL DAR (MANAGING MEMBER) |
| Authorized Official Telephone | 8327259895 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
25393 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
25391 | TX | Dental Providers |
| Street Address |
4201 GASTON AVE SUITE102 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750657094 | Ricardo David Aldas | Dentist | 4201 Gaston Ave, #102, Dallas, TX 75246-1400 | 2012-03-30 |
| 1598226763 | Stephanie Pastrana Sanchez | Dentist | 4201 Gaston Ave, Dallas, TX 75246-1400 | 2019-03-28 |
| 1225440316 | John Das Paul | Dentist | 4201 Gaston Ave, #102, Dallas, TX 75246-1400 | 2014-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1619589629 | Bahar Iranmehr | Dentist | 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 | 2020-08-20 |
| 1598377657 | John Arthur Bounds IIi | Dentist | 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 | 2020-08-20 |
| 1023628633 | Allison Yost | Dentist | 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 | 2020-08-07 |
| 1669082905 | Jacob Hornberger | Dentist | 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 | 2020-08-02 |
| 1346862117 | Cyprian Chibuzor Okobi Jr. | Dentist | 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 | 2020-05-14 |
| 1316577463 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 5225 Belt Line Rd Ste 222, Dallas, TX 75254-1436 | 2020-01-16 |
| 1598312589 | Laura Gabriela Choque | Dentist | 9030 Southwestern Blvd Apt 3225, Dallas, TX 75214-1542 | 2019-08-23 |
| 1326694894 | Blake Collier Burnstad | Dentist | 7013 Kenwell St, Dallas, TX 75209-4840 | 2019-08-12 |
| 1538713011 | Preston Rsvi Pllc | Dentist | 13536 Preston Rd Ste 108, Dallas, TX 75240-5227 | 2019-08-01 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.