Provider Demographics
NPI:1215829148
Name:DIYA DENTAL PLLC
Entity type:Organization
Organization Name:DIYA DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SRUJANI REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GADUSU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-714-3805
Mailing Address - Street 1:6600 CRISTO LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7377
Mailing Address - Country:US
Mailing Address - Phone:713-714-3805
Mailing Address - Fax:
Practice Address - Street 1:27052 E UNIVERSITY DR STE 105
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:76227
Practice Address - Country:US
Practice Address - Phone:940-290-6835
Practice Address - Fax:940-274-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice