Provider Demographics
NPI:1861938995
Name:DENTAL CIRCLE PLLC
Entity type:Organization
Organization Name:DENTAL CIRCLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:903-948-3239
Mailing Address - Street 1:2014 CROCKETT RD
Mailing Address - Street 2:STE# B
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-5908
Mailing Address - Country:US
Mailing Address - Phone:903-948-3239
Mailing Address - Fax:
Practice Address - Street 1:2014 CROCKETT RD
Practice Address - Street 2:STE# B
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-5908
Practice Address - Country:US
Practice Address - Phone:903-948-3239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27214122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty