Provider Demographics
NPI:1487899530
Name:ROOT CANAL DENTISTS, PLLC
Entity type:Organization
Organization Name:ROOT CANAL DENTISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:F
Authorized Official - Last Name:NE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-704-6778
Mailing Address - Street 1:10333 WOODFORD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-6316
Mailing Address - Country:US
Mailing Address - Phone:214-704-6778
Mailing Address - Fax:
Practice Address - Street 1:3860 W NORTHWEST HWY STE 108
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-5183
Practice Address - Country:US
Practice Address - Phone:214-352-7668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188071223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty