COLLEGE STATION DENTISTRY AND ORTHODONTICS PLLC (NPI# 1083117907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083117907 |
| Entity Type | Organization |
| Organization Name | COLLEGE STATION DENTISTRY AND ORTHODONTICS PLLC |
| Other Organization Name | COLLEGE STATION DENTISTRY AND ORTHODONTICS |
| Practice Address |
11671 Fm 2154 Suite 400 College Station TX 77845 |
| Mailing Address |
2403 Lacy Ln Carrollton TX 75006-6514 |
| Practice Telephone | 9792212423 |
| Practice Fax Number | 9792212426 |
| Mailing Telephone | 9728693789 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Authorized Official Name | FAITH GASKINS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 9728693789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| College Station Dentistry and Orthodontics | Doing Business As Name - Organization |
| Street Address |
11671 FM 2154 SUITE 400 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| 1336544022 | Treasure Oben | Registered Nurse | 4421 Hey 6 S # 300, College Station, TX 77845 | 2014-10-24 |
| Find all providers in zip 77845 | ||||
| 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 |
|---|---|---|---|---|
| 1184237760 | Joseph Ryan Dickson | Dentist | 219 Rock Prairie Rd Ste 100, College Station, TX 77845-8796 | 2020-08-25 |
| 1275185209 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 2305 Longmire Dr Ste 70, College Station, TX 77845-7033 | 2019-07-10 |
| 1154983054 | Nicholas Charles Madere | Dentist | 4400 Highway 6 S Ste 300, College Station, TX 77845-4500 | 2019-07-01 |
| 1386137370 | Ilka Maza | Dentist | 1530 Texas Ave S Ste 300, College Station, TX 77840-3390 | 2018-06-13 |
| 1225530124 | Michonne Danielle Parker | Dentist | 11671 Fm 2154 Rd Ste 400, College Station, TX 77845-4796 | 2018-03-06 |
| 1336679059 | Andrew F Naeger | Dentist | 4528 Mills Park Cir, College Station, TX 77845-1100 | 2017-06-14 |
| 1528491081 | Haynes Dental Pllc | Dentist | 1530 Texas Ave S, 300, College Station, TX 77840-3329 | 2013-08-19 |
| 1730520222 | Neha Karanjkar | Dentist | 4400 State Highway 6 S, Suite # 300, College Station, TX 77845-4427 | 2013-07-11 |
| 1831470442 | Williams Dentistry P.a. | Dentist | 1511 Emerald Plz, College Station, TX 77845-1501 | 2011-09-09 |
| 1619277894 | Brian S Black Dds Pllc | Dentist | 219 Rock Prairie Rd Ste. 100, College Station, TX 77845 | 2010-10-22 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on COLLEGE STATION DENTISTRY AND ORTHODONTICS PLLC.
| 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.