TEXAS WISDOM TEETH & DENTAL IMPLANTS


Address: 14856 Preston Rd Ste 104, Dallas, TX 75254-6844
Phone: 9729601111

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Office Location

Street Address 14856 PRESTON RD STE 104
City DALLAS
State TX
Zip Code 75254-6844

Providers in the same zip code

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 Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City DALLAS
Zip Code 75254

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Dataset Information

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.

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