COLLEGE STATION DENTISTRY AND ORTHODONTICS PLLC


Address: 11671 Fm 2154, Suite 400, College Station, TX 77845
Phone: 9792212423

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
College Station Dentistry and Orthodontics Doing Business As Name - Organization

Office Location

Street Address 11671 FM 2154
SUITE 400
City COLLEGE STATION
State TX
Zip Code 77845

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City COLLEGE STATION
Zip Code 77845

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Dataset Information

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.

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