OrganizationActive
Tesla Dental Implant LLC
NPI 1487398285 · Orofacial Pain Dentistry · Keller, TX
Provider details
- NPI number
- 1487398285
- Entity type
- Organization
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sam Wise, Owner(973) 747-6425
Specialties & taxonomies
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Sleep Disorder Diagnostic Clinic/Center261QS1200X
Ambulatory Health Care Facilities
- Dental Laboratory292200000X
Laboratories
Practice location
151 Ridge Point Pkwy Ste 400
Keller, TX 76248-8801
Phone: (817) 835-6955
Approximate (ZIP-level) locationGet directions
Mailing address
5605 Fm 423
Frisco, TX 75036
Registry dates
- Enumerated
- 2022-04-27
- Last updated
- 2022-04-27
- Certified
- 2022-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.