AUSTIN BLVD. FAMILY DENTISTRY, P.C. (NPI# 1063945848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063945848 |
| Entity Type | Organization |
| Organization Name | AUSTIN BLVD. FAMILY DENTISTRY, P.C. |
| Practice Address |
101 Austin Blvd., Ste 100 Red Oak TX 75154 |
| Mailing Address |
1090 Northchase Pkwy Ste. 150 Marietta GA 30067 |
| Practice Telephone | 7709165031 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | ALAN MARTIN (PRESIDENT) |
| Authorized Official Telephone | 9726173322 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
101 AUSTIN BLVD., STE 100 |
| City | RED OAK |
| State | TX |
| Zip Code | 75154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204814 | Red Oak Smile Center Pllc | Dentist | 300 N Saraf Rd, Ste 108, Red Oak, TX 75154 | 2019-03-14 |
| 1316429392 | Zoe Frances Clement | Specialist/Technologist | 128 Hollie Dr, Red Oak, TX 75154 | 2018-09-05 |
| 1447758685 | Into Loving Hearts & Hands Home Care LLC | Technician | 735 Ashln, Red Oak, TX 75154 | 2018-01-23 |
| 1114442522 | Vista Specialty, LLC | Pharmacy | 600 Methodist St., Suite 1120, Red Oak, TX 75154 | 2017-08-07 |
| 1609317148 | Anthony L Strauder | Nurse Anesthetist, Certified Registered | 111 Schley Rd, Red Oak, TX 75154 | 2017-03-16 |
| 1356881668 | Elledge Counseling Associates | Counselor | 328 Pebblebrook, Glenn Heights, TX 75154 | 2017-03-06 |
| 1952840787 | Nathanael Barnes | Nurse Anesthetist, Certified Registered | 100 Country Ridge Ct, Red Oak, TX 75154 | 2017-02-13 |
| 1366802589 | Quicktime Fitness | Chiropractor | 2506 Ovilla Road, Suite B, Red Oak, TX 75154 | 2016-03-01 |
| 1366751919 | Chester Copeland Jr. | Technician/Technologist | 204 London Lane, Glenn Heights, TX 75154 | 2010-09-30 |
| 1396061685 | Andre Hancock Sr. Family Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1012 Farm Market Road 2377, Red Oak, TX 75154 | 2010-04-13 |
| Find all providers in zip 75154 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204814 | Red Oak Smile Center Pllc | Dentist | 300 N Saraf Rd, Ste 108, Red Oak, TX 75154 | 2019-03-14 |
| 1467861922 | Allheart Dental, Pllc | Dentist | 103 E Ovilla Rd Ste A, Red Oak, TX 75154-2490 | 2014-08-09 |
| 1821119256 | Carol Randolph Wald | Dentist | 101 Austin Blvd, Suite 100, Red Oak, TX 75154-4660 | 2007-04-03 |
| 1386785350 | Kimberly Marie Truka | Dentist | 415 E Coolbaugh St, Red Oak, IA 51566-2319 | 2007-02-10 |
| 1700968708 | Terry J Gillespie | Dentist | 1700 E Summit St, Red Oak, IA 51566-1711 | 2006-10-19 |
| 1194807578 | Williams Dental South | Dentist | 269 E. Ovilla Rd., Ste: 300, Red Oak, TX 75154 | 2006-10-19 |
| 1518076215 | Alan S Martin | Dentist | 101 Austin Blvd Ste 100, Red Oak, TX 75154-4661 | 2006-08-29 |
| 1730192394 | Michael Patrick Mccormack | Dentist | 1700 Summit Ave, Red Oak, IA 51566 | 2006-08-14 |
| 1588652382 | Corinne S Pearson | Dentist | 307 E Ovilla Rd, Suite 400, Red Oak, TX 75154-3833 | 2005-10-06 |
| 1154324606 | Stewart Glen Powers | Dentist | 205 Pierce Rd, Red Oak, TX 75154-6415 | 2005-05-28 |
| Find all providers in RED OAK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.