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Active NPI 1245594589 Individual Practitioner Female Practitioner

Dr. Vidyavathi Konegowda , DDS

Dentist - General Practice • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Vidyavathi Konegowda, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dallas, TX. Practice services are available at 3030 LBJ FWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3030 Lbj Fwy
Suite 1400

Dallas, TX 752347781

Telephone 9724448888
Associated Practice Facility / Clinic
🏢 Jdc Healthcare, Pllc Facility NPI 1003017096

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
749 Specialists

Practicing in Dallas, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 28602

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MI 2901020698

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Aaron Ip , DDS

Dentist - General Practice

NPI 1003030776

Doctor of Dental Surgery

Dr. David Alameel , DDS

Dentist - General Practice

NPI 1003030859

Doctor of Dental Surgery

Dr. Tammie Trinh , DDS

Dentist - General Practice

NPI 1003507195

Doctor of Dental Surgery

NPI 1043624596

Doctor of Dental Surgery

Dr. John Turner , DDS

Dentist - General Practice

NPI 1053535575

Doctor of Dental Surgery

Ajay Pachipulusu

Dentist - General Practice

NPI 1083844716

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2015

Registered at 3030 LBJ FWY, SUITE 1400, DALLAS, TX 752347781 (Tel: 9724448888)

📍
Updated Business Mailing Address February 26, 2015

Registered at 1076 ARCHES PARK DR, ALLEN, TX 750135649 (Tel: 2486135147)

👤
Provider Name / Credentials Updated February 26, 2015

Recorded as VIDYAVATHI KONEGOWDA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2015

Dentist (License #28602 in TX)

🟢
Initial NPI Registration & Enumeration July 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245594589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2012
Last Update: February 26, 2015
Sole Proprietor: Yes

Mailing Address

1076 Arches Park Dr

Allen, TX 750135649

Phone: 2486135147

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.