# AMERISMILES DENTAL OF GRAND PRAIRE PLLC

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

## Provider details

- **NPI number:** 1902192289
- **Authorized official:** DR. SUMAN REDDY NALLA DMD (PRESIDENT)
- **Authorized official phone:** (603) 233-1889

## Contact information

- **Practice address:** 1030 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-3301
- **Practice address phone:** (603) 233-1889
- **Mailing address:** 1030 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 25949 | TX | Yes |

## Other

- **Enumeration date:** 06/24/2011
- **Last updated:** 06/24/2011