BRUCE TOTAL DENTAL AND ORTHODONTICS PLLC (NPI# 1689235038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689235038 |
| Entity Type | Organization |
| Organization Name | BRUCE TOTAL DENTAL AND ORTHODONTICS PLLC |
| Practice Address |
3809 S General Bruce Dr Ste 104 Temple TX 76502-1038 |
| Mailing Address |
2403 Lacy Ln Carrollton TX 75006-6514 |
| Practice Telephone | 2548709277 |
| Mailing Telephone | 9728693789 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| 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 |
|---|---|
| Temple Dental Arts & Orthodontics | Doing Business As Name - Organization |
| Street Address |
3809 S GENERAL BRUCE DR STE 104 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| 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 |
|---|---|---|---|---|
| 1437761319 | Erin Lee Kern | Dentist | 3550 S General Bruce Dr Ste D103, Temple, TX 76504-5138 | 2020-08-20 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1053963967 | Mousami Surapaneni | Dentist | 3108 S 31st St Ste 2108, Temple, TX 76502-1803 | 2019-07-11 |
| 1265925721 | Sharon Kuriakose Iype | Dentist | 3108 S 31st St Ste 3108, Temple, TX 76502-1803 | 2018-06-10 |
| 1710409586 | Lynda My Nguyen | Dentist | 7410 W Adams Ave, Temple, TX 76502-5891 | 2017-07-12 |
| 1225562820 | Qtl Dental Pllc | Dentist | 121 N 31st St, Suite A, Temple, TX 76504-2421 | 2017-04-20 |
| 1346607314 | Quang Luong | Dentist | 5297 S 31st St Ste 111, Temple, TX 76502-3515 | 2016-01-21 |
| 1780073627 | Sungjoon T Koo | Dentist | 10252 W Adams Ave Ste 101, Temple, TX 76502-5849 | 2015-01-15 |
| 1093121006 | Harsh Patel | Dentist | 2320 S 31st St Ste 120, Temple, TX 76504-7102 | 2014-07-10 |
| Find all providers in TEMPLE | ||||
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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.