# IDEAL DENTAL OF GRAND PRAIRIE PLLC

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

## Provider details

- **NPI number:** 1528569019
- **Authorized official:** RODNEY ALLES DDS (OWNER)
- **Authorized official phone:** (972) 331-8079

## Contact information

- **Practice address:** 3450 S HWY 161, SUITE 200, GRAND PRAIRIE, TX 75052-1438
- **Practice address phone:** (972) 820-7214
- **Practice address fax:** (972) 739-2400
- **Mailing address:** PO BOX 840925, DALLAS, TX 75284-0925

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2018
- **Last updated:** 05/19/2023