Provider Demographics
NPI:1932092020
Name:RED SQUARE DENTAL & ORTHODONTICS AT SHARYLAND PLLC
Entity type:Organization
Organization Name:RED SQUARE DENTAL & ORTHODONTICS AT SHARYLAND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADISLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSHKAREV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-297-1300
Mailing Address - Street 1:1615 S CLOSNER BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5718
Mailing Address - Country:US
Mailing Address - Phone:956-297-1300
Mailing Address - Fax:956-646-9809
Practice Address - Street 1:4909 W PECAN
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-297-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty