Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ideal Dental of Roanoke PLLC

Organization Dentist · NPI 1306225529

Ideal Dental of Roanoke PLLC is a Dentist in Roanoke, Texas. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

860 E Highway 114 Ste 200
Roanoke, TX 76262
Phone: (817) 491-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1306225529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shalin Patel — Owner · (972) 331-8067
NPI enumeratedMay 20, 2015
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address860 East Highway 114, Suite 200, Roanoke, TX 76262

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