# CHASE OAKS FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1396491809
- **Authorized official:** DR. LAVANYA RUDRAPATNA DMD (DR)
- **Authorized official phone:** (469) 626-0131

## Contact information

- **Practice address:** 280 LEGACY DR STE 105, PLANO, TX 75023-2314
- **Practice address phone:** (469) 626-0131
- **Practice address fax:** (972) 867-4396
- **Mailing address:** 280 LEGACY DR STE 105, PLANO, TX 75023-2314
- **Mailing address phone:** (469) 626-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 02/23/2022