VILLAGE PERIODONTICS & IMPLANT DENT (NPI# 1649768979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649768979 |
| Entity Type | Organization |
| Organization Name | VILLAGE PERIODONTICS & IMPLANT DENT |
| Practice Address |
2820 Village Pkwy Ste 630 Highland Village TX 75077-3299 |
| Practice Telephone | 9729662500 |
| Practice Fax Number | 9724719833 |
| Mailing Telephone | 9729662500 |
| Mailing Fax Number | 9724719833 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | JANE C MOORE (OFFICE MANAGER) |
| Authorized Official Telephone | 9729662500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
16373 | TX | Dental Providers |
| Street Address |
2820 VILLAGE PKWY STE 630 |
| City | HIGHLAND VILLAGE |
| State | TX |
| Zip Code | 75077-3299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461062 | Preferred Pediatrics Primary Care, Pllc | Pediatrics | 2540 F.m. 407 Ste 189, Highland Village, TX 75077 | 2019-01-23 |
| 1841739448 | Mackenzie Scovill | Physical Therapist | 4040 Bryce Lane, Flower Mound, TX 75077 | 2017-02-15 |
| 1356891147 | Erin Maxwell | Naturopath | 2012 Fm 407 Ste 200a, Lewisville, TX 75077 | 2016-10-05 |
| 1356732051 | My-hanh Nguyen Dds, Pa | Dentist | 967 North Garden Ridge Blvd, Suite A, Lewisville, TX 75077 | 2015-02-17 |
| 1912332586 | Marissa Lynn Royall Steinhelfer | Speech-Language Pathologist | 800 College Parkway, Suite 336, Lewisville, TX 75077 | 2013-09-13 |
| 1831466044 | Healthsource of Flower Mound LLC | Chiropractor | 200 Market Place Ln, Suite 200, Highland Village, TX 75077 | 2011-11-17 |
| 1144546391 | Sandhya Rao | Physical Therapist | 1301 Justin Rd Ste 206, Lewisville, TX 75077 | 2010-04-13 |
| 1811121460 | Orthodontic Professionals | Clinic/Center | 4030 Justin Road (fm 407), Suite 100, Flower Mound, TX 75077 | 2009-05-12 |
| 1134393374 | Elizabeth Pearl Muir | Occupational Therapist | 1301 West Hwy 407, Ste 206, Lewisville, TX 75077 | 2008-04-18 |
| 1043488323 | The Looking Glass Optique PC | Optometrist | 2600 Village Parkway, Unit 1a, Highland Village, TX 75077 | 2008-02-20 |
| Find all providers in zip 75077 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
| 1447884341 | Kagayaki Corp. | Dentist | 3535 Victory Group Way Ste 101, Frisco, TX 75034-6719 | 2020-02-28 |
| 1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
| 1912538984 | Michelle Marie Torres Santos | Dentist | 6123 79th St # 100, Lubbock, TX 79424-8708 | 2020-01-29 |
| 1225668429 | Rachel Dai, Pllc | Dentist | 20423 Kuykendahl Rd Ste 600, Spring, TX 77379-3493 | 2020-01-16 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND VILLAGE |
| Zip Code | 75077 |
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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.