HOME TOWN DENTAL,PA (NPI# 1316134125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316134125 |
| Entity Type | Organization |
| Organization Name | HOME TOWN DENTAL,PA |
| Practice Address |
6332 Lake Worth Lake Worth TN 76135 |
| Mailing Address |
6332 Lake Worth Blvd Fort Worth TX 76135-3602 |
| Practice Telephone | 8172373222 |
| Practice Fax Number | 8172370101 |
| Mailing Telephone | 8172373222 |
| Mailing Fax Number | 8172370101 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | MRS. PATTY SANCHEZ (MANAGER) |
| Authorized Official Telephone | 8172373222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770790024 | Home Town Dental,pa | Dentist | 6332 Lake Worth Blvd, Lake Worth, TX 76135-3602 | 2007-05-17 |
| Street Address |
6332 LAKE WORTH |
| City | LAKE WORTH |
| State | TN |
| Zip Code | 76135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| 1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1457570053 | Dawn Denise Ezelle | Occupational Therapy Assistant | 3400 Marine Drive, Fort Worth, TX 76135 | 2007-04-24 |
| 1609846617 | Robert Truitt Maberry, Jr. | Dentist | 3980 Boat Club Rd., Ste. 114, Ft. Worth, TX 76135 | 2006-01-23 |
| Find all providers in zip 76135 | ||||
| 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 |
|---|---|---|---|---|
| 1679170112 | Amina Soud Adem | Dentist | 6014 Azle Ave Ste 100, Lake Worth, TX 76135-2603 | 2020-10-07 |
| 1568009025 | Michael Gott | Dentist | 6045 Hagen Ranch Rd Ste 1, Lake Worth, FL 33467-7251 | 2019-12-04 |
| 1255886446 | Yue Jiang | Dentist | 6076 Azle Ave Ste 100, Lake Worth, TX 76135-2627 | 2016-08-17 |
| 1245681246 | Tousant Jamel Plunkett | Dentist | 1325 Tropical Dr, Lake Worth, FL 33460-5343 | 2016-06-30 |
| 1588046189 | Gail Castillo Deguzman | Dentist | 6076 Azle Ave, Lake Worth, TX 76135-2603 | 2015-06-19 |
| 1689085565 | Doyle George Musselman | Dentist | 220 5th Ave S, Lake Worth, FL 33460-4620 | 2014-05-14 |
| 1750700563 | Palms Dental Care Pllc | Dentist | 8918 Lantana Rd Ste B, Lake Worth, FL 33467-6136 | 2014-04-08 |
| 1528499365 | Sachs Dental Center | Dentist | 9835-8 Lake Worth Rd, Lake Worth, FL 33467 | 2013-12-04 |
| 1023453321 | Big Smile Dentistry Inc | Dentist | 4481 Lake Worth Rd Ste B, Lake Worth, FL 33461-3929 | 2013-05-01 |
| 1538418488 | Lyle Aaron Herman | Dentist | 5747 Gelding Ct, Lake Worth, FL 33449-5416 | 2012-09-06 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 76135 |
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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.