ODESSA FAMILY DENTAL
NPI 1346759487
Dentist - General Practice in Odessa, TX

Q: What is Andes Dental PLLC's NPI number?

The NPI number for Andes Dental PLLC is 1346759487. It was assigned to this organization in the NPPES registry on September 20, 2017. The provider is doing business as Odessa Family Dental.

Q: What is Andes Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Andes Dental PLLC was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2017

1157 E 42ND ST STE A, ODESSA, TX 79762(432) 242-6666(832) 379-5175 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Jul 21, 2022, Sep 20, 2017 (3 updates tracked since 2017).

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About Odessa Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODESSA FAMILY DENTAL (NPI 1346759487) is a healthcare organization registered as a general practice in Odessa, Texas and active in the NPI registry since September 2017. The organization lists Keerthi Miryala, Member, as its authorized official.

NPPES Registry Identity

NPI1346759487

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameANDES DENTAL PLLC

Location Address1157 E 42ND ST STE AOdessa, TX 79762-7723

Mailing Address1157 E 42nd St Ste AOdessa, TX 79762-7723 · (432) 242-6666 · Fax (832) 379-5175

Phone(432) 242-6666

Fax(832) 379-5175

Organization SubpartNo

Authorized OfficialKeerthi MiryalaMember · (832) 762-1914

Enumeration DateSeptember 20, 2017

Last NPPES UpdateJune 4, 20243 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1346759487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1157 E 42ND ST STE A, Odessa, TX 79762

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Other Names 1

Doing Business AsOdessa Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andes Dental PLLC's NPI number?

The NPI number for Andes Dental PLLC is 1346759487. It was assigned to this organization in the NPPES registry on September 20, 2017. The provider is doing business as Odessa Family Dental.

Where is Andes Dental PLLC located?

Andes Dental PLLC is located at 1157 E 42nd St Ste A, Odessa, TX 79762. The listed phone number is (432) 242-6666.

What is Andes Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Andes Dental PLLC was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.