Provider Demographics
NPI:1780418426
Name:DENTALPLUS LEANDER PLLC
Entity type:Organization
Organization Name:DENTALPLUS LEANDER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TEJASH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:248-275-3289
Mailing Address - Street 1:1907 S HIGHWAY 183 STE 206
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2211
Mailing Address - Country:US
Mailing Address - Phone:512-866-4573
Mailing Address - Fax:
Practice Address - Street 1:1907 S HIGHWAY 183 STE 206
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-2211
Practice Address - Country:US
Practice Address - Phone:512-866-4573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty