STAFFORD FAMILY ENTERPRISES LLC (NPI# 1295272045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295272045 |
| Entity Type | Organization |
| Organization Name | STAFFORD FAMILY ENTERPRISES LLC |
| Other Organization Name | WOW DENTAL |
| Practice Address |
3306 West Camp Wisdom Suite 100 Dallas TX 75237 |
| Mailing Address |
421 Englewood Drive Murphy TX 75094 |
| Practice Telephone | 4698042486 |
| Mailing Telephone | 2147064245 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | DR. SAOSAT MARIA STAFFORD (OWNER) |
| Authorized Official Telephone | 2258926708 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23931 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| WOW Dental | Doing Business As Name - Organization |
| Street Address |
3306 WEST CAMP WISDOM SUITE 100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| 1982087284 | P&g Services, LLC | Technician | 7007 Richwood Dr, Dallas, TX 75237 | 2015-07-06 |
| Find all providers in zip 75237 | ||||
| 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 |
|---|---|---|---|---|
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1619589629 | Bahar Iranmehr | Dentist | 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 | 2020-08-20 |
| 1598377657 | John Arthur Bounds IIi | Dentist | 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 | 2020-08-20 |
| 1023628633 | Allison Yost | Dentist | 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 | 2020-08-07 |
| 1669082905 | Jacob Hornberger | Dentist | 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 | 2020-08-02 |
| 1346862117 | Cyprian Chibuzor Okobi Jr. | Dentist | 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 | 2020-05-14 |
| 1316577463 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 5225 Belt Line Rd Ste 222, Dallas, TX 75254-1436 | 2020-01-16 |
| 1598312589 | Laura Gabriela Choque | Dentist | 9030 Southwestern Blvd Apt 3225, Dallas, TX 75214-1542 | 2019-08-23 |
| 1326694894 | Blake Collier Burnstad | Dentist | 7013 Kenwell St, Dallas, TX 75209-4840 | 2019-08-12 |
| 1538713011 | Preston Rsvi Pllc | Dentist | 13536 Preston Rd Ste 108, Dallas, TX 75240-5227 | 2019-08-01 |
| Find all providers in DALLAS | ||||
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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.