PEDIATRIC DENTISTRY OF SHERMAN, PA (NPI# 1245516574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245516574 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF SHERMAN, PA |
| Other Organization Name | PEDIATRIC DENTISTRY OF PRINCETON |
| Practice Address |
275 W Princeton Dr Suite 100 Princeton TX 75407-9602 |
| Practice Telephone | 9727361000 |
| Practice Fax Number | 9727361002 |
| Mailing Telephone | 9727361000 |
| Mailing Fax Number | 9727361002 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | DR. ROBERT WILLIAMSON (DIRECTOR/OWNER) |
| Authorized Official Telephone | 9727361000 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC DENTISTRY OF SHERMAN, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
23222 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1316103443 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Dentistry of Princeton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316103443 | Pediatric Dentistry of Sherman, Pa | Dentist | 2113 N Loy Lake Rd, Suite F, Sherman, TX 75090-2808 | 2008-07-29 |
| Street Address |
275 W PRINCETON DR SUITE 100 |
| City | PRINCETON |
| State | TX |
| Zip Code | 75407-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255595096 | Princeton Family Dental | Dentist | 275 W Princeton Dr, # 100, Princeton, TX 75407-9602 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663723 | Kristine Schuerger | Specialist/Technologist | 960 Bois D'arc Dr., Princeton, TX 75407 | 2020-09-14 |
| 1205478286 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 1401 W. Princeton Dr., Princeton, TX 75407 | 2019-10-11 |
| 1437685328 | Myia Billy | Counselor | 1306 N 6th Street, Princeton, TX 75407 | 2017-05-11 |
| 1144675760 | Deseye, LLC | Optometrist | 701 West Princeton Dr, Princeton, TX 75407 | 2016-05-02 |
| 1164737540 | David Tien Si Vo | Dentist | 275 West Princeton Dr., Suite 100, Princeton, TX 75407 | 2010-08-10 |
| 1184862146 | Aydil Healthcare, Pllc | Pharmacy | 501 E Princeton Dr # 100, Princeton, TX 75407 | 2009-01-29 |
| 1598946071 | Pharmacy Operations Inc | Durable Medical Equipment & Medical Supplies | 501 E Princeton Dr, Ste 100, Princeton, TX 75407 | 2007-11-26 |
| 1043352537 | Princeton Pharmacy Inc. | Pharmacy | 501 E. Princeton Dr, Suite 100, Princeton, TX 75407 | 2007-02-13 |
| 1306955455 | David W. Cho | Dentist | 200 S. Beauchamp Blvd, Suite 104, Princeton, TX 75407 | 2006-08-30 |
| 1477593457 | Jeremy Christopher Schmid | Chiropractor | 712 W Princeton Drive, Princeton, TX 75407 | 2006-06-07 |
| Find all providers in zip 75407 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164737540 | David Tien Si Vo | Dentist | 275 West Princeton Dr., Suite 100, Princeton, TX 75407 | 2010-08-10 |
| 1437231610 | Andrew Hung-kwon Chung | Dentist | 301 North Harrison St, #36, Princeton, NJ 08540 | 2006-10-19 |
| 1043658453 | Smita S Lad | Dentist | 601 Ewing St, Princeton, NJ 08540-2757 | 2013-06-07 |
| 1811202856 | Christina A Ciano | Dentist | 211 Commons Way, Princeton, NJ 08540-1508 | 2010-08-14 |
| 1669547899 | Richard Holstein | Dentist | 601 Ewing St, Suite B-11, Princeton, NJ 08540-2757 | 2006-11-22 |
| 1275607053 | David Thomas St Clair | Dentist | 100 New Hope Road, Medical Arts Clinic Suite 205, Princeton, WV 24740 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.