GAURAV PURI PA (NPI# 1548590128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548590128 |
| Entity Type | Organization |
| Organization Name | GAURAV PURI PA |
| Other Organization Name | FAMILY SMILES |
| Practice Address |
8113 Camp Bowie W Benbrook TX 76116-6314 |
| Mailing Address |
225 Exchange St Suite D Burleson TX 76028-4588 |
| Practice Telephone | 6172817941 |
| Mailing Telephone | 8174269337 |
| Mailing Fax Number | 8174269336 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | DR. GAURAV PURI (DIRECTOR) |
| Authorized Official Telephone | 6172817941 |
| Authorized Official Credential | BDS,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24365 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| family smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609167923 | Gaurav Puri Pa | Dentist | 419 Old Elkhart Rd, Ste 110, Palestine, TX 75801-5922 | 2011-04-20 |
| 1932483526 | Gaurav Puri Pa | Dentist | 4450 Highland Ave, Beaumont, TX 77705-5205 | 2011-10-01 |
| Street Address |
8113 CAMP BOWIE W |
| City | BENBROOK |
| State | TX |
| Zip Code | 76116-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| 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 |
|---|---|---|---|---|
| 1306201470 | William C. Whittle Dds PC | Dentist | 310 Mercedes St, Benbrook, TX 76126-2593 | 2015-12-16 |
| 1629361316 | Harold John Kamara | Dentist | 8731 Benbrook Blvd, Benbrook, TX 76126-3442 | 2011-05-27 |
| 1548426000 | Robert F Benningfield | Dentist | 111 Sproles Dr, Benbrook, TX 76126-3213 | 2008-08-04 |
| 1659590776 | David Sloan White | Dentist | 381 Mercedes St, Benbrook, TX 76126-2593 | 2007-04-25 |
| 1639297260 | Melanie La Kaye Throne | Dentist | 6417 Southwest Blvd, Benbrook, TX 76132-2777 | 2007-03-26 |
| 1528104155 | William Charles Whittle | Dentist | 310 Mercedes St., Benbrook, TX 76126 | 2007-01-30 |
| 1629088547 | Jason Fowler | Dentist | 4200 Bryant Irvin Rd Ste 109, Benbrook, TX 76109-4212 | 2006-08-09 |
| 1063491157 | Neal B Jones | Dentist | 8113 Camp Bowie West Blvd, Benbrook, TX 76116-6314 | 2006-01-17 |
| 1245236223 | John Croom Harris | Dentist | 4200 Bryant Irvin Rd, Ste 107, Benbrook, TX 76109-4212 | 2005-06-23 |
| 1750943577 | Yashmin Y Subba | Dentist | 8501 Benbrook Blvd, Benbrook, TX 76126-2153 | 2019-07-01 |
| Find all providers in BENBROOK | ||||
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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.