Healthcare Provider Details

I. General information

NPI: 1346063427
Provider Name (Legal Business Name): GPDONE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 S CENTRAL EXPY STE 201
ANNA TX
75409-4591
US

IV. Provider business mailing address

6004 RIDGEMORE DR
PARKER TX
75002-5450
US

V. Phone/Fax

Practice location:
  • Phone: 972-924-4443
  • Fax:
Mailing address:
  • Phone: 913-406-2463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ANAS ATHAR
Title or Position: MANAGER
Credential: DDS
Phone: 913-406-2463