NPI age
10 years
Enumerated 2016-01-11
● Active Type 2 · Organization
Village DDS Pllc
Village DDS Pllc is 1 of 1850 dentist organizations in Texas.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fetouh
Owner
Last NPPES update
2016-01-11
Source: monthly bulk 2026-05
How this organization compares
Across 1850 active dentist providers in Texas.
NPI age
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
4041 W Wheatland Rd, Suite 202
Dallas, TX 752374063
Mailing address
4041 W Wheatland Rd, Suite 202
Dallas, TX 752374063
Authorized official
Omar Fetouh
Owner
📞 7163489855
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Shelley Booker, D.C. Chiropractor NPI 1477683555
- Richard Davidson, DC Chiropractor NPI 1679508311
- Olamide Fasonu, PHARM.D. Pharmacist NPI 1992033286
- Arami Gates Durable Medical Equipment & Medical Supplies NPI 1104332881
- Greg Golly, CRNA Nurse Anesthetist, Certified Registered NPI 1184609661
- Jayashree Gorrepati, MD Anesthesiology NPI 1982689477
- Ernest Wiley Non-emergency Medical Transport (VAN) NPI 1649592163
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
-
DentistA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1568871523 | |
| 05 (TX) | 1992950042 |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.