# GREENVILLE ENDODONTICS, P.A.

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

## Provider details

- **NPI number:** 1407157225
- **Authorized official:** MRS. KAVITA DODDAMANE DDS, MS (PRESIDENT)
- **Authorized official phone:** (214) 801-8216

## Contact information

- **Practice address:** 4501 JOE RAMSEY BLVD E STE 210, GREENVILLE, TX 75401-7836
- **Practice address phone:** (903) 454-0123
- **Mailing address:** 107 SUNCREEK DR STE 120, ALLEN, TX 75013-3672
- **Mailing address phone:** (903) 454-0123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2010
- **Last updated:** 11/10/2010