SAMUEL TEAGUE (NPI# 1215429642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215429642 |
| Entity Type | Individual |
| Full Name | SAMUEL TEAGUE |
| Practice Address |
360 Peak One Drive #100 Frisco CO 80443 |
| Mailing Address |
33 Bayonne Dr Little Rock AR 72223-9167 |
| Practice Telephone | 9706684040 |
| Mailing Telephone | 5018042168 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 00203598 | CO | Dental Providers |
| Street Address |
360 PEAK ONE DRIVE #100 |
| City | FRISCO |
| State | CO |
| Zip Code | 80443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491230 | So Hyeon Park | Dentist | 8979 Fm 423 Ste 400, Frisco, TX 75036-8997 | 2020-09-11 |
| 1487274890 | David F Manwaring | Dentist | 460 Hammerstone Ln, Frisco, CO 80443-5379 | 2020-04-26 |
| 1609416288 | James D Browning IIi | Dentist | 14660 Sh 121 Building 300, Frisco, TX 75035 | 2020-01-10 |
| 1467008904 | Skm Dentistry Frisco Pllc | Dentist | 14725 Lebanon Rd Ste 200, Frisco, TX 75035-5531 | 2019-08-12 |
| 1407328321 | Soh of Texas Samson Liu Pllc | Dentist | 8715 Lebanon Rd Ste 300, Frisco, TX 75034-8653 | 2018-12-18 |
| 1811474703 | Alma Liliana Salazar Rios | Dentist | 5757 Warren Pkwy Ste 220, Frisco, TX 75034-4207 | 2018-07-24 |
| 1982197448 | Kristina Lee Chandler | Dentist | 8755 Preston Rd Ste 310, Frisco, TX 75034-5696 | 2018-06-10 |
| 1093253577 | Sejal Vinayagamurthy | Dentist | 4275 Legacy Dr. Ste., Ste 500, Frisco, TX 75034 | 2017-02-06 |
| 1790239531 | Erika Debanhi Mendez | Dentist | 6351 Preston Rd Ste 300, Frisco, TX 75034-5854 | 2016-08-10 |
| 1003263948 | Chandy Ann Randall | Dentist | 10702 Birmingham Dr, Frisco, TX 75035-7869 | 2016-05-20 |
| Find all providers in FRISCO | ||||
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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.