# GLOW DENTAL AND ORTHODONTICS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144836453
- **Authorized official:** RAHUL JOSHI DDS (MANAGER)
- **Authorized official phone:** (480) 747-5129

## Contact information

- **Practice address:** 2572 GUS THOMASSON RD, DALLAS, TX 75228-3017
- **Practice address phone:** (214) 699-5000
- **Mailing address:** 1150 EMPIRE CENTRAL PL STE 112, DALLAS, TX 75247-4312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2020
- **Last updated:** 09/22/2020