Provider Demographics
NPI:1699505313
Name:DXCC VENTURES PLLC
Entity type:Organization
Organization Name:DXCC VENTURES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONNELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-734-5883
Mailing Address - Street 1:4433 NAAMAN FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2722
Mailing Address - Country:US
Mailing Address - Phone:214-734-5883
Mailing Address - Fax:
Practice Address - Street 1:501 W CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3326
Practice Address - Country:US
Practice Address - Phone:214-734-5883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty