Healthcare Provider Details

I. General information

NPI: 1841978855
Provider Name (Legal Business Name): DDSTEXAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 W FRANKFORD RD STE 112
CARROLLTON TX
75007-4900
US

IV. Provider business mailing address

1405 W FRANKFORD RD STE 112
CARROLLTON TX
75007-4900
US

V. Phone/Fax

Practice location:
  • Phone: 972-245-4886
  • Fax: 972-245-4977
Mailing address:
  • Phone: 972-245-4886
  • Fax: 972-245-4977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: PROF. VERONICA TERRELL
Title or Position: DENTAL HYGIENIST
Credential: R.D.H
Phone: 972-245-4886