# WINDSONG DENTAL, PLLC

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

## Provider details

- **NPI number:** 1790372936
- **Authorized official:** DR. SVETLANA USHERENKO DDS (MANAGING MEMBER)
- **Authorized official phone:** (214) 232-2235

## Contact information

- **Practice address:** 940 S LEGACY DR STE 10, PROSPER, TX 75078-2929
- **Practice address phone:** (469) 481-0181
- **Mailing address:** 3621 MASON DR, PLANO, TX 75025-4459
- **Mailing address phone:** (214) 232-2235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2020
- **Last updated:** 02/17/2022