BOERNE FAMILY DENTAL PLLC (NPI# 1528678620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528678620 |
| Entity Type | Organization |
| Organization Name | BOERNE FAMILY DENTAL PLLC |
| Practice Address |
1112 S Main St Ste A Boerne TX 78006-2812 |
| Practice Telephone | 8307556475 |
| Practice Fax Number | 8307556485 |
| Mailing Telephone | 8307556475 |
| Mailing Fax Number | 8307556485 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | FAITH GASKINS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 9728693789 |
| 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 |
|---|---|
| Hill Country Dental Center | Doing Business As Name - Organization |
| Street Address |
1112 S MAIN ST STE A |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| 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 |
|---|---|---|---|---|
| 1346884236 | Katelyn Adele Solarczyk | Dentist | 101 Northview Dr, Boerne, TX 78006-8991 | 2019-11-04 |
| 1184991184 | San Antonio Dental Center | Dentist | 8610 Napa Lndg, Boerne, TX 78015 | 2011-11-19 |
| 1093003964 | Brandon Michael Gardner | Dentist | 134 Menger Springs Ste 1270, Boerne, TX 78006 | 2011-07-13 |
| 1598812646 | Julie Kristine Waltrip | Dentist | 230 W Bandera Rd, Boerne, TX 78006-2805 | 2007-01-04 |
| 1982794467 | George E Metz IIi | Dentist | 25 Fm 3351 S, Boerne, TX 78006-5710 | 2006-10-13 |
| 1629160718 | George W Smith IIi | Dentist | 602 S. Main, Boerne, TX 78006 | 2006-09-28 |
| 1902816754 | John E. Pitts | Dentist | 1361 S Main St, #201, Boerne, TX 78006-2837 | 2006-08-08 |
| 1184695603 | Aaron Harrison Wilson Jr. | Dentist | 144 Lake View Dr, Boerne, TX 78006-5614 | 2006-02-01 |
| 1801899323 | Brent A. Hallum | Dentist | 804 N Main St, Boerne, TX 78006-1626 | 2005-05-30 |
| 1053899435 | West Bandera Dental, Pllc | Dentist | 430 W Bandera Rd, Boerne, TX 78006-2500 | 2018-07-30 |
| Find all providers in BOERNE | ||||
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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.