TEXAS WISDOM TEETH & DENTAL IMPLANTS (NPI# 1629428941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629428941 |
Entity Type | Organization |
Organization Name | TEXAS WISDOM TEETH & DENTAL IMPLANTS |
Practice Address |
14856 Preston Rd Ste 104 Dallas TX 75254-6844 |
Practice Telephone | 9729601111 |
Mailing Telephone | 9729601111 |
Enumeration Date | 2016-06-17 |
Last Update Date | 2016-06-17 |
Authorized Official Name | DAVID KOTLIAR (MANAGER) |
Authorized Official Telephone | 6313653268 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Street Address |
14856 PRESTON RD STE 104 |
City | DALLAS |
State | TX |
Zip Code | 75254-6844 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
Find all providers in zip 75254 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
1205253614 | John William Gannon | Dentist | 8315 Walnut Hill Ln Ste 120, Dallas, TX 75231 | 2014-03-24 |
1649616434 | Andrew Anthony Arango | Dentist | 8611 Hillcrest Ave Ste 235, Dallas, TX 75225-4231 | 2013-05-20 |
1659714228 | Danielle Gladneice Gill | Dentist | 195 W Davis St Apt 408, Dallas, TX 75208-4429 | 2013-04-12 |
1811280001 | Matthew James Krieger | Dentist | 5321 E Mockingbird Ln Ste 210, Dallas, TX 75206-0915 | 2011-05-19 |
1396063608 | Mohammed M Al-obaidi | Dentist | 3120 State St Apt J, Dallas, TX 75204-2626 | 2010-05-11 |
1780815365 | Randy Robert Sanovich | Dentist | 12740 Hillcrest Rd Ste 100, Dallas, TX 75230-2050 | 2009-07-31 |
1477782266 | Joshua Alan Stone | Dentist | 6333 Forest Park Rd # 130, Dallas, TX 75235-5461 | 2009-07-14 |
1467621011 | Metroplex Surgical Arts, P.a. | Dentist | 7988 W Virginia Dr Ste 200, Dallas, TX 75237-3764 | 2008-02-28 |
1063609253 | South First Dental of Oakcliff | Dentist | 7324 Gaston Ave, Dallas, TX 75214-6126 | 2007-10-02 |
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.