# A GUD DENTIST, PLLC

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

## Provider details

- **NPI number:** 1275178865
- **Authorized official:** DR. ANIL K GUDIPATI DDS (OWNER)
- **Authorized official phone:** (682) 234-9168

## Contact information

- **Practice address:** 3010 FM 423, \#100, LITTLE ELM, TX 75068
- **Practice address phone:** (214) 945-0901
- **Mailing address:** 3010 FM 423 STE 100, LITTLE ELM, TX 75068-6705
- **Mailing address phone:** (469) 239-0123
- **Mailing address fax:** (469) 213-1524

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2019
- **Last updated:** 09/24/2020