OrganizationActive
Restore Dental PLLC
NPI 1104215367 · Dental Clinic/Center · Corsicana, TX
Provider details
- NPI number
- 1104215367
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mahesh Gondi, President(903) 257-8815
- License
- 22213 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3108 W State Highway 22
Corsicana, TX 75110-2435
Phone: (903) 257-8815
Fax: (903) 900-4184
Street-level locationGet directions
Mailing address
3108 W State Highway 22
Corsicana, TX 75110-2435
Registry dates
- Enumerated
- 2015-01-12
- Last updated
- 2016-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.