# WAVERLY DENTAL-PLANO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waverly Dental, My Dentist in Plano
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942176508
- **Authorized official:** NICK DEBARI (CE)
- **Authorized official phone:** (929) 618-7162

## Contact information

- **Practice address:** 6009 W PARKER RD STE 199, PLANO, TX 75093-8131
- **Practice address phone:** (214) 216-6374
- **Mailing address:** 6009 W PARKER RD STE 199, PLANO, TX 75093-8131
- **Mailing address phone:** (214) 216-6374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 09/01/2026