# EMMANUEL DENTAL P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Safe Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811227473
- **Authorized official:** DR. PRAMOD K THOMAS DDS (PRESIDENT)
- **Authorized official phone:** (972) 238-7233

## Contact information

- **Practice address:** 445 WALNUT ST, SUITE 133, RICHARDSON, TX 75081-5649
- **Practice address phone:** (972) 238-7233
- **Practice address fax:** (972) 238-8993
- **Mailing address:** 445 WALNUT ST, SUITE 133, RICHARDSON, TX 75081-5649
- **Mailing address phone:** (972) 238-7233
- **Mailing address fax:** (972) 238-8993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 23752 | TX | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 01/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1720259088 | PROVIDER INDIVIDUAL NPI | TX |