DR. FREDERICK PRINCE WILBUR (NPI# 1386654465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386654465 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK PRINCE WILBUR |
| Credential | D.D.S. |
| Practice Address |
11851 Jollyville Rd Suite 101 Austin TX 78759-2338 |
| Practice Telephone | 5122584144 |
| Practice Fax Number | 5123351258 |
| Mailing Telephone | 5122584144 |
| Mailing Fax Number | 5123351258 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10758 | TX | Dental Providers |
| Street Address |
11851 JOLLYVILLE RD SUITE 101 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380671 | Venkata S Erella | Plastic Surgery | 11851 Jollyville Rd, Suite#104, Austin, TX 78759 | 2006-05-10 |
| 1285172320 | Sarah Michelle Torres | Dietitian, Registered | 11851 Jollyville Rd, Suite 104, Austin, TX 78759-2338 | 2017-02-09 |
| 1124481932 | Arbor Oaks Dental Pllc | Clinic/Center | 11851 Jollyville Rd, Suite 101, Austin, TX 78759-2338 | 2016-03-30 |
| 1184055410 | Lindsay Saulsgiver | Clinical Nurse Specialist | 11851 Jollyville Rd, 202, Austin, TX 78759-2338 | 2013-12-12 |
| 1164787453 | Craig Ian Brawner | Dentist | 11851 Jollyville Rd, Ste 101, Austin, TX 78759 | 2012-07-12 |
| 1568740835 | Christine A. Williams | Nurse Practitioner | 11851 Jollyville Rd, Austin, TX 78759-2338 | 2011-08-03 |
| 1730317272 | Venkata Erella Md LLC | Surgery | 11851 Jollyville Rd, Suite 104, Austin, TX 78759-2338 | 2009-06-23 |
| 1386880631 | Jose Antonio Urquidez, Md, Pa | Physical Medicine & Rehabilitation | 11851 Jollyville Rd, Suite 103, Austin, TX 78759-2338 | 2008-12-16 |
| 1922276500 | Acupuncture Plus | Acupuncturist | 11851 Jollyville Rd, Suite102, Austin, TX 78759-2338 | 2008-02-15 |
| 1295868842 | Moms2moms Pediatrics Pllc | Pediatrics | 11851 Jollyville Rd, Suite 204, Austin, TX 78759-2338 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| 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 |
|---|---|---|---|---|
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1356956882 | Pediatric Dental Professionals, Pllc | Dentist | 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 | 2020-09-11 |
| 1043823727 | Dimple Sharma Pllc | Dentist | 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 | 2020-08-24 |
| 1295343036 | Nair & Pillai Serenity Dental, Pllc | Dentist | 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 | 2020-07-17 |
| 1972130672 | Meredith Rae Mosier | Dentist | 421 W 3rd St Apt 811, Austin, TX 78701-4166 | 2020-03-24 |
| 1144863861 | Michelle Hedgecock Dds Pllc | Dentist | 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 | 2019-10-25 |
| 1275174799 | Debora L Ayres | Dentist | 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 | 2019-10-06 |
| 1922649730 | Sarah Workman | Dentist | 11615 Angus Rd Ste 110, Austin, TX 78759-4006 | 2019-10-02 |
| 1568013761 | River Place Dental | Dentist | 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 | 2019-09-28 |
| 1508411372 | Abram Ortega | Dentist | 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 | 2019-08-07 |
| Find all providers in AUSTIN | ||||
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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.