HIGHWAY 351, PC (NPI# 1275832214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275832214 |
| Entity Type | Organization |
| Organization Name | HIGHWAY 351, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
1784 State Highway 351 Abilene TX 79601-4748 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 6789045665 |
| Practice Fax Number | 6789045666 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | DR. DALE MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7709165028 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kool Smiles | Doing Business As Name - Organization |
| Street Address |
1784 STATE HIGHWAY 351 |
| City | ABILENE |
| State | TX |
| Zip Code | 79601-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962754317 | Highway 351 PC | Dentist | 1784 State Highway 351, Abilene, TX 79601-4748 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| 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 |
|---|---|---|---|---|
| 1528629664 | Johnathon Bogard | Dentist | 4601 Buffalo Gap Rd Ste D1, Abilene, TX 79606-3364 | 2019-06-27 |
| 1548821358 | Andrew Will Tate | Dentist | 2501 Barrow St, Abilene, TX 79605-6236 | 2019-06-23 |
| 1699260497 | Abilene Dental Care South Pllc | Dentist | 4102 Buffalo Gap Rd Ste F, Abilene, TX 79605-7243 | 2018-06-25 |
| 1639459076 | Susan Payne Dds | Dentist | 2381 S 32nd Street, Abilene, TX 79605-7029 | 2011-08-17 |
| 1184902868 | Traci Jean King | Dentist | 2381 South 32nd St, Abilene, TX 79605 | 2011-07-28 |
| 1659691426 | Familia Dental Abilene Pllc | Dentist | 1365 Barrow St, Abilene, TX 79605-5171 | 2010-06-03 |
| 1508092909 | Gene Martin Shelhamer | Dentist | 294 Medical Drive, Abilene, TX 79601 | 2009-06-01 |
| 1093952392 | Finley & Runyan, LLP | Dentist | 4321 Southwest Dr, Abilene, TX 79606-8205 | 2009-01-08 |
| 1750543641 | Melanie J Larson | Dentist | 2601 Barrow St, Abilene, TX 79605-6238 | 2008-07-01 |
| 1629239389 | Michael Jason Alexander | Dentist | #5 Windmill Circle, Abilene, TX 79606 | 2008-06-24 |
| Find all providers in ABILENE | ||||
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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.