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VIBRANT FAMILY DENTAL
NPI 1407561442
Dentist - General Practice in Odessa, TX

Active since January 13, 2023
1801 E 87TH STREET, ODESSA, TX 79765(317) 292-4054(432) 558-7299 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2023, Jan 19, 2023, Jan 13, 2023 (3 updates tracked since 2023).

About Vibrant Family Dental NPPES

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

VIBRANT FAMILY DENTAL (NPI 1407561442) is a healthcare organization registered as a general practice in Odessa, Texas and active in the NPI registry since January 2023. The organization lists Yasoda Vardhani Boyapati, Owner, as its authorized official.

NPPES Registry Identity

NPI1407561442
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVIBRANT SMILES PLLC
Location Address1801 E 87TH STREETOdessa, TX 79765
Mailing Address1801 E 87th Street Suite 105Odessa, TX 79765-1826 · (432) 233-1964 · Fax (432) 558-7299
Phone(317) 292-4054
Fax(432) 558-7299
Organization SubpartNo
Authorized OfficialYasoda Vardhani BoyapatiOwner · (432) 233-1964
Enumeration DateJanuary 13, 2023
Last NPPES UpdateApril 7, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1407561442 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.
1801 E 87TH STREET, Odessa, TX 79765
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Other Names 1

Doing Business AsVibrant 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 Vibrant Smiles PLLC's NPI number?

The NPI number for Vibrant Smiles PLLC is 1407561442. It was assigned to this organization in the NPPES registry on January 13, 2023. The provider is doing business as Vibrant Family Dental.

Where is Vibrant Smiles PLLC located?

Vibrant Smiles PLLC is located at 1801 E 87th Street, Odessa, TX 79765. The listed phone number is (317) 292-4054.

What is Vibrant Smiles 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 Vibrant Smiles PLLC was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.