JEWEL DENTAL GROUP, PLLC (NPI# 1700296787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700296787 |
| Entity Type | Organization |
| Organization Name | JEWEL DENTAL GROUP, PLLC |
| Other Organization Name | DENTAL IMPRESSIONS |
| Practice Address |
910 N Galloway Ave Suite 202 Mesquite TX 75149-2409 |
| Mailing Address |
3401 Wolfe Cir Plano TX 75025-2227 |
| Practice Telephone | 6824728473 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | DR. SWEETA WALIA (PRESIDENT) |
| Authorized Official Telephone | 2148623100 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22451 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Impressions | Doing Business As Name - Organization |
| Street Address |
910 N GALLOWAY AVE SUITE 202 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174796254 | Joseph Babafemi Taiwo | Emergency Medicine | 910 N Galloway Ave, Suite 102, Mesquite, TX 75149-2409 | 2008-04-09 |
| 1881233633 | Texas Infusion Group Pllc | Clinic/Center | 910 N Galloway Ave, Mesquite, TX 75149-2409 | 2019-12-26 |
| 1154746105 | Estrada Medical Services | Family Medicine | 910 N Galloway Ave, Suite 101, Mesquite, TX 75149-2409 | 2014-02-27 |
| 1861752024 | 1st Class Urgent Care Center Pllc | Family Medicine | 910 N Galloway Ave, Suite 102, Mesquite, TX 75149-2409 | 2012-05-22 |
| 1649575515 | Galloway Pharmacy | Pharmacy | 910 N Galloway Ave, Suite 100, Mesquite, TX 75149-2409 | 2011-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| Find all providers in zip 75149 | ||||
| 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 |
|---|---|---|---|---|
| 1609411800 | Mesquite Dental Clinic Pllc | Dentist | 2411 N Galloway Ave Ste 128, Mesquite, TX 75150-7688 | 2019-11-12 |
| 1639661150 | Truecare Dentistry Pllc | Dentist | 1080 E Cartwright Rd Ste 180, Mesquite, TX 75149-6621 | 2018-05-31 |
| 1245751114 | Payden Blake Anderson | Dentist | 340 Falcon Ridge Pkwy Ste 303, Mesquite, NV 89027-8851 | 2017-06-30 |
| 1053769356 | My Teeth Dental Orthodontics Pllc | Dentist | 2063 Town East Mall Ste 1036, Mesquite, TX 75150-4118 | 2016-05-26 |
| 1215397617 | Orange Dental Pllc | Dentist | 2615 Interstate 30, Mesquite, TX 75150-2704 | 2016-02-26 |
| 1821497900 | Dawit Goshimea | Dentist | 1336 N Galloway Ave Ste 110, Mesquite, TX 75149-2490 | 2014-08-14 |
| 1962816355 | Rene Javier Loera Jr. | Dentist | 3133 N Town East Blvd, Mesquite, TX 75150 | 2014-06-13 |
| 1952711681 | Divya Nagaraj | Dentist | 1050 N Belt Line Rd Ste 102, Mesquite, TX 75149-1771 | 2014-05-02 |
| 1164848628 | Jordan Blake Mchone | Dentist | 1765 N Town East Blvd Ste 111, Mesquite, TX 75150 | 2014-03-07 |
| 1346591906 | Tae Gon Song | Dentist | 507 N Galloway Ave, Mesquite, TX 75149-3405 | 2012-09-24 |
| Find all providers in MESQUITE | ||||
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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.