THREE MILE DENTISTRY, PLLC (NPI# 1699149518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699149518 |
| Entity Type | Organization |
| Organization Name | THREE MILE DENTISTRY, PLLC |
| Other Organization Name | SMILE & SHINE |
| Practice Address |
1701 W Mile 3 Rd Mission TX 78573-4181 |
| Mailing Address |
902 S Airport Dr Suite 2 Weslaco TX 78596-6644 |
| Practice Telephone | 9564372220 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | DR. HARJAP SINGH NANVA (MEMBER) |
| Authorized Official Telephone | 9564372220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24586 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 313703601 | 05 | |
| TX | 202219607 | 05 |
| Other Name | Type Code |
|---|---|
| Smile & Shine | Doing Business As Name - Organization |
| Street Address |
1701 W MILE 3 RD |
| City | MISSION |
| State | TX |
| Zip Code | 78573-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003477399 | Andrew Hoseung Ryu | Dentist | 4322 N Conway Ave., Ste 104, Palmhurst, TX 78573 | 2019-06-26 |
| 1700302460 | Viva Phc, LLC | Home Health | 2802 E Bluebonnet Ln, Mission, TX 78573 | 2017-08-15 |
| 1780070201 | Bc Corp Pllc | Dentist | 228 E 3 Mile Rd, Ste 101, Palmhurst, TX 78573 | 2015-04-10 |
| 1487064465 | El Rancho Adult Day Care | Clinic/Center | 1905 W 3 Mile Rd., Ste. 1600 & 1700, Mission, TX 78573 | 2014-04-30 |
| 1902237597 | Well-care Rx & Dme, LLC | Durable Medical Equipment & Medical Supplies | 8115 N Los Ebanos Rd Ste 5, Alton, TX 78573 | 2013-12-06 |
| 1417380825 | H-e-b, Lp | Clinical Medical Laboratory | 120 East Mile 3rd Road, Palmhurst, TX 78573 | 2013-08-21 |
| 1841532975 | C-pharmrx,llc | Pharmacy | 1315 West Main Avenue, Suite 13b, Alton, TX 78573 | 2013-03-27 |
| 1548509466 | Palli-med Hospice LLC | Hospice Care, Community Based | 1310 E. Main Ave, Suite B, Alton, TX 78573 | 2013-02-13 |
| 1144568957 | Julio Cesar Bravo | Nurse Practitioner | 2001 W. 3 Mile Rd., Suite 2500, Mission, TX 78573 | 2013-01-29 |
| 1447597653 | Alton Childrens Care Clinic, P.a. | Pediatrics | 8115 North Los Ebanos Road, Alton, TX 78573 | 2013-01-08 |
| Find all providers in zip 78573 | ||||
| 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 |
|---|---|---|---|---|
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1659938132 | Bryan St Dental Pllc | Dentist | 210 S Bryan Rd Ste 4, Mission, TX 78572-6208 | 2019-05-21 |
| 1134786627 | La Homa Family Dental Pllc | Dentist | 8305 N La Homa Rd Ste E, Mission, TX 78574-5469 | 2019-05-21 |
| 1881122455 | William Robert Keith | Dentist | 6299 Nall Ave Ste 200, Mission, KS 66202-3547 | 2017-05-26 |
| 1730555319 | Jun Sang Cho | Dentist | 4203 Santa Fe St, Mission, TX 78572-8599 | 2015-08-18 |
| 1912389206 | Kory Kirkegaard | Dentist | 5940 Lamar Ave, Mission, KS 66202-3231 | 2015-06-23 |
| 1992044176 | Steven Myoung-suk Lee | Dentist | 1609 N. Conway Ave, W. David Egger Dds Pa, Mission, TX 78572 | 2013-02-07 |
| 1831475300 | Zoo Dental, Pllc | Dentist | 2412 N Conway Ave, Mission, TX 78574-2347 | 2011-10-28 |
| 1992088579 | Healthy Smiles Pllc | Dentist | 1123 E 9th St, Suite 10-a, Mission, TX 78572-4404 | 2011-09-21 |
| 1962712059 | Texas Smiles Dental Center of Mission, Pllc | Dentist | 2413 E Expressway 83, Suite 100, Mission, TX 78572-1005 | 2010-10-07 |
| Find all providers in MISSION | ||||
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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.