LONE STAR DENTAL AND BRACES, PLLC (NPI# 1699069013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699069013 |
| Entity Type | Organization |
| Organization Name | LONE STAR DENTAL AND BRACES, PLLC |
| Practice Address |
2516 Ne 28th St Suite 100 Ft Worth TX 76106-7576 |
| Mailing Address |
2516 Ne 28th St Ste 100 Ft Worth TX 76106-7577 |
| Practice Telephone | 2814503072 |
| Mailing Telephone | 8177448440 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | DR. GERALD BLAKE SHERRICK (CO-OWNER) |
| Authorized Official Telephone | 2814503072 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE LIONS DEN MANAGEMENT, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 25574 | TX | Dental Providers |
| Street Address |
2516 NE 28TH ST SUITE 100 |
| City | FT WORTH |
| State | TX |
| Zip Code | 76106-7576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215380985 | Irene Robyn Winnett | Counselor | 2907 Loving Ave, Fort Worth, TX 76106 | 2016-07-19 |
| 1568875706 | Valerie Freeman Biegon | Contractor | A La Mod Salon/ Vfb-lmt, 3900 Merrett Drive Suite B, Lake Worth, TX 76106 | 2014-06-05 |
| 1659555738 | Northside Adult Daycare Center, Inc. | Clinic/Center | 1401 Clinton Ave, Fort Worth, TX 76106 | 2007-12-24 |
| 1285755504 | Nortside Medical Clinic, P.a. | Family Medicine | 1600 25th Street, Suite B, Fort Worth, TX 76106 | 2007-04-03 |
| 1477607240 | H Pena Md North Main Medical and Surgical Clinic Assoc | General Practice | 3301 North Main Street, Fort Worth, TX 76106 | 2007-01-22 |
| 1093800153 | Jinat Corporation | Dentist | 1612 Nw 28th St, Fort Worth, TX 76106 | 2006-10-04 |
| 1568751006 | Elizabeth Rivera | Family Medicine | 3308 Deen Rd, Fort Worth, TX 76106 | 2011-04-05 |
| 1104156173 | Katherine Courtney Thompson | Speech-Language Pathologist | 3600 Angle Ave, Fort Worth, TX 76106 | 2010-01-13 |
| 1417066507 | Priyanka Kandhari | Dentist | 3308 Deen Rd, Fort Worth, TX 76106 | 2006-08-30 |
| 1417518648 | Kristina Lahti | Occupational Therapist | 4775 North Fwy, Fort Worth, TX 76106-2315 | 2019-06-27 |
| Find all providers in zip 76106 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629580394 | Ideal Dental of Waterside Pllc | Dentist | 5925 Convair Dr Ste F505, Ft Worth, TX 76109-1275 | 2017-11-02 |
| 1316377104 | Rsq Dental Pllc | Dentist | 2904 E Berry St, Ft Worth, TX 76105-4755 | 2013-11-15 |
| 1043642804 | Ramsey Fort Worth LLC | Dentist | 2739 S Hulen St, Ft Worth, TX 76109-9535 | 2013-08-05 |
| 1760781595 | Floss Ft Worth PC | Dentist | 2421 W 7th St Ste 103, Ft Worth, TX 76107-2325 | 2011-03-18 |
| 1093036683 | Gerald Blake Sherrick | Dentist | 2516 Ne 28th St Ste 100, Ft Worth, TX 76106-7577 | 2010-06-17 |
| 1336386044 | John P Murphy | Dentist | 1609 Everman Pkwy, Ft Worth, TX 76140 | 2009-01-16 |
| 1447414362 | David J.w. Sorokolit Dds | Dentist | 1050 Fifth Ave Suite G, Ft Worth, TX 76104 | 2008-07-10 |
| 1619182524 | Glenn H Norman Jr. | Dentist | 602 N Sylvania, Ft Worth, TX 76111-2402 | 2007-05-14 |
| 1780705483 | Raffy Kouyoumdjian | Dentist | 2482 Jacksboro Hwy, Ft Worth, TX 76114-2201 | 2007-04-02 |
| 1346396371 | Basswood Family Dental Pa | Dentist | 5428 Basswood Blvd, Ft Worth, TX 76137 | 2007-01-25 |
| Find all providers in FT WORTH | ||||
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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.