# DNA DENTAL ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1700559416
- **Authorized official:** RUSSELL D TAYLOR III DDS (OWNER / DENTIST)
- **Authorized official phone:** (469) 272-6792

## Contact information

- **Practice address:** 610 UPTOWN BLVD STE 3100, CEDAR HILL, TX 75104-3535
- **Practice address phone:** (469) 272-6792
- **Mailing address:** 610 UPTOWN BLVD STE 3100, CEDAR HILL, TX 75104-3535

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 07/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1124387683 | INDIVIDUAL NPI | — |