# GURU DATTA 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:** Smile N Shine Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295514651
- **Authorized official:** DR. MANJUSHA TUMMALA DDS (GENERAL DENTIST)
- **Authorized official phone:** (848) 391-6885

## Contact information

- **Practice address:** 6500 DENTON HWY STE B1, WATAUGA, TX 76148-2526
- **Practice address phone:** (817) 428-4005
- **Mailing address:** 654 BANBURY RD, COPPELL, TX 75019-2063
- **Mailing address phone:** (848) 391-6885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2023
- **Last updated:** 10/15/2023