MODERN DENTAL PROFESSIONALS-MIDLAND ODESSA PC (NPI# 1366512030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366512030 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS-MIDLAND ODESSA PC |
| Other Organization Name | MONARCH DENTAL |
| Practice Address |
2818 N County Rd W Odessa TX 79764-1666 |
| Mailing Address |
6501 Windcrest Dr Suite 100 Plano TX 75024-3075 |
| Practice Telephone | 7144281300 |
| Practice Fax Number | 7144281390 |
| Mailing Telephone | 7144281300 |
| Mailing Fax Number | 7144281390 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | DR. ROY D. SMITH (OWNER) |
| Authorized Official Telephone | 7144281300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Monarch Dental | Doing Business As Name - Organization |
| Street Address |
2818 N COUNTY RD W |
| City | ODESSA |
| State | TX |
| Zip Code | 79764-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085183 | Adriana Salcido Herrera | Dental Hygienist | 2818 N County Rd W, Odessa, TX 79764-1666 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710466610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3050 W University Blvd, Odessa, TX 79764 | 2018-08-10 |
| 1962897405 | H-e-b, Lp | Clinical Medical Laboratory | 2501 W. University Blvd, Odessa, TX 79764 | 2015-04-01 |
| 1184022758 | Md Moinul Islam | Physician Assistant | 6030 W. University, Odessa, TX 79764 | 2014-12-15 |
| 1962618637 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 10036 West Westland Drive, Odessa, TX 79764 | 2007-05-16 |
| 1992119838 | Gary Chase Jackson | Optometrist | 6030 W University Blvd, Odessa, TX 79764 | 2014-06-18 |
| 1609128594 | Amanda Lynn Paradeaux | Nurse Practitioner | 3001 W University Blvd, Odessa, TX 79764 | 2012-10-03 |
| 1760619498 | Cindy A Smith | Speech-Language Pathologist | 8712 Claymoor Dr, Odessa, TX 79764-1252 | 2009-06-21 |
| 1003316084 | Maranda Pina Garza | Licensed Vocational Nurse | 24 Bookins Ct, Odessa, TX 79764-1401 | 2018-02-16 |
| 1255378717 | United Supermarkets LLC | Durable Medical Equipment & Medical Supplies | 2751 N County Rd W, Odessa, TX 79764-1665 | 2006-06-01 |
| 1578112454 | Shaikat Banerjee | Pharmacist | 2751 N County Rd W, Odessa, TX 79764-1665 | 2019-09-04 |
| Find all providers in zip 79764 | ||||
| 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 |
|---|---|---|---|---|
| 1427619238 | Benjamin Bennett Waites | Dentist | 4901 E 42nd St Ste B, Odessa, TX 79762-7338 | 2019-06-23 |
| 1619443736 | Abbeville Dentistry - Odessa East, Pllc | Dentist | 2499 E 11th St, Odessa, TX 79761-4232 | 2018-10-16 |
| 1124535885 | Anisha Patel | Dentist | 6909 Arabian Rd, Odessa, FL 33556-1825 | 2018-01-03 |
| 1346759487 | Andes Dental Pllc | Dentist | 1157 E 42nd St Ste A, Odessa, TX 79762-7723 | 2017-09-20 |
| 1629592217 | Quyen Tran | Dentist | 2260 Linda Ave Ste 103, Odessa, TX 79763-2665 | 2017-07-26 |
| 1861920886 | Constance Schreck | Dentist | 2631 Faudree Rd Ste B, Odessa, TX 79765-8530 | 2017-06-03 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1285011882 | Precious Smiles Dentistry, PC | Dentist | 2713 N Grandview Ave, Odessa, TX 79762-6952 | 2015-05-04 |
| 1821494121 | Robert Meek | Dentist | 7331 Eastridge Rd, Odessa, TX 79765-8903 | 2014-11-13 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in ODESSA | ||||
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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.