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

Individual provider Pediatric Dentistry · NPI 1558630251

Dr. Mahendra D Mavalli, PHD is a Pediatric Dentistry in Keller, Texas. Works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

151 Ridge Point Pkwy Ste 100
Keller, TX 76248-8801
Phone: (817) 697-5166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 370 West Highway 121, Coppell, TX 75019 — (972) 899-6800
  • 315 Laurence Dr Ste 100, Heath, TX 75032-2077 — (469) 830-3300

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 27392 (TX)

Record details

NPI number1558630251
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 26, 2011
Last updated in NPPESAugust 1, 2024
Certification dateSeptember 16, 2022

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