# EA DENTAL 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
- **Other names:** Pura Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255195541
- **Authorized official:** DR. MOHAMED ABDEL MONEIM ABBASS DDS (DENTIST)
- **Authorized official phone:** (651) 408-5631

## Contact information

- **Practice address:** 2121 NORTHWEST HWY STE 112, GARLAND, TX 75041-4851
- **Practice address phone:** (651) 408-5631
- **Mailing address:** 4620 SOUTHPOINTE DR, RICHARDSON, TX 75082-3857
- **Mailing address phone:** (310) 909-6839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2024
- **Last updated:** 05/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1801181102 | — | TX |