MAIN DENTISTRY, P.A. – Dentist, NPI 1912030230

MAIN DENTISTRY, P.A. is a healthcare provider. based in Lewisville, Texas. specializing in Dentist. The organization holds a License No. 20290 (TX). The NPI Number for MAIN DENTISTRY, P.A. is 1912030230

Main info

Organization
Name
MAIN DENTISTRY, P.A.
NPI
1912030230
Phone
(972) 370-1200
Address
4679 STATE HIGHWAY 121
Authorized Official
DR. SUJATA BASAWARAJ PRESIDENT DMD
Enumeration Date
14 March 2007
Last Update Date
24 September 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MAIN DENTISTRY, P.A.

  • 4679 STATE HIGHWAY 121

    SUITE 109

    LEWISVILLE, TX 750564010

    Phone: (972) 370-1200

    Fax: (972) 370-2679

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75056)

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Frequently asked questions

Is there an official ID for MAIN DENTISTRY, P.A. in U.S. healthcare records?
The official identifier for MAIN DENTISTRY, P.A. is NPI 1912030230.
Is there an active status for MAIN DENTISTRY, P.A.?
For scheduling context, MAIN DENTISTRY, P.A. is shown as active in the registry.
What clinical focus is listed for MAIN DENTISTRY, P.A.?
At a glance, MAIN DENTISTRY, P.A. is tied to Dentist. Clinical services aligned with this taxonomy classification.
What locale is associated with MAIN DENTISTRY, P.A.?
Directory geography for MAIN DENTISTRY, P.A. centers on Lewisville, Texas.
When was this NPI issued?
Enumeration for MAIN DENTISTRY, P.A. is noted as March 14, 2007 where the registry provides it.

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