DOUGLAS FONVILLE (NPI# 1417173808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417173808 |
| Entity Type | Individual |
| Full Name | DOUGLAS FONVILLE |
| Practice Address |
10405 E Northwest Hwy Ste 301 Dallas TX 75238-4619 |
| Practice Telephone | 2143432331 |
| Mailing Telephone | 2143432331 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13082 | TX | Dental Providers |
| Street Address |
10405 E NORTHWEST HWY STE 301 |
| City | DALLAS |
| State | TX |
| Zip Code | 75238-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508808825 | Honling John Yuen | Internal Medicine | 10405 E Northwest Hwy, #100, Dallas, TX 75238-4619 | 2006-06-12 |
| 1972930857 | Edie Hernandez Putt, Psy D, Lpc-pc | Counselor | 10405 E Northwest Hwy, Ste # 303, Dallas, TX 75238-4619 | 2013-10-09 |
| 1912134610 | Vanessa Ann Johnson | Dental Hygienist | 10405 E Northwest Hwy, #301, Dallas, TX 75238-4619 | 2009-06-19 |
| 1720285885 | Kristi M Lewis | Counselor | 10405 E Northwest Hwy, Suite 100, Dallas, TX 75238-4619 | 2007-06-29 |
| 1255537650 | Linda S Comito | Counselor | 10405 E Northwest Hwy, Suite 100, Dallas, TX 75238-4619 | 2007-06-22 |
| 1861606352 | Wahida Aly Elsaie | Psychologist | 10405 E Northwest Hwy, Suite 100, Dallas, TX 75238-4619 | 2007-05-10 |
| 1215159462 | Lawanda Harris | Dental Hygienist | 10405 E Northwest Hwy, Ste 301, Dallas, TX 75238-4619 | 2007-05-03 |
| 1639390396 | Stacy Martinez | Dental Hygienist | 10405 E Northwest Hwy, Suite 301, Dallas, TX 75238-4619 | 2007-05-01 |
| 1508938663 | Edith Hernandez Putt | Counselor | 10405 E Northwest Hwy, Suite 303, Dallas, TX 75238-4619 | 2006-11-14 |
| 1558447193 | William D. Burnett | Family Medicine | 10405 E Northwest Hwy, Suite 300, Dallas, TX 75238-4619 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205317286 | Felicia Youngblood | Physical Therapist | 8615 Lullwater Dri, Dallas, TX 75238 | 2018-08-27 |
| 1942704283 | Zoom Initiative Incorporated | Clinic/Center | 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 | 2018-03-21 |
| 1104345321 | Lee M Fisher | Developmental Therapist | 10333 Mosscrest Dr, Dallas, TX 75238 | 2017-09-19 |
| 1548716848 | Zoom Health Services Inc | Nursing Care | 12959 Jupiter Road Suite 140, Dallas, TX 75238 | 2016-08-28 |
| 1356691489 | Dallas Emergency Physicians | General Acute Care Hospital | 11042 Wallbrook Dr., Dallas, TX 75238 | 2012-09-17 |
| 1285993477 | Legacy Dental of Mesquite Pllc | Dentist | 9208-b E. R.l. Thorton Expressway, #209-b, Dallas, TX 75238 | 2012-05-09 |
| 1316257710 | T-dental,p.c | Dentist | 9625 Plano Road, 100, Dallas, TX 75238 | 2010-10-19 |
| 1427286764 | Sarah Elizabeth Bryant | Dental Hygienist | 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 | 2009-06-25 |
| 1285868448 | Cordial Care Home Health Services Inc | Home Health | 10935 Estate Lane Suite 182, Dallas, TX 75238 | 2009-05-04 |
| 1558514695 | Lisa Camille Simmons | Counselor | 12959 Jupiter Ln, Dallas, TX 75238 | 2008-11-03 |
| Find all providers in zip 75238 | ||||
| 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.