MANSFIELD FAMILY DENTISTRY (NPI# 1710289061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710289061 |
| Entity Type | Organization |
| Organization Name | MANSFIELD FAMILY DENTISTRY |
| Practice Address |
100 Carlin Rd Mansfield TX 76063-3454 |
| Practice Telephone | 8174730291 |
| Practice Fax Number | 6825181190 |
| Mailing Telephone | 8174730291 |
| Mailing Fax Number | 6825181190 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | MRS. TERRI BRENTLINGER BAUER (RDH/OFFICE MANAGER) |
| Authorized Official Telephone | 8174730291 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 24538 | TX | Dental Providers |
| Y | 122300000X | Dentist | 12539 | TX | Dental Providers |
| Street Address |
100 CARLIN RD |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588046932 | Walkiria Rivera Jones | Dentist | 100 Carlin Rd, Mansfield, TX 76063-3454 | 2015-06-22 |
| 1467716449 | William Cody Bauer | Dentist | 100 Carlin Rd, Mansfield, TX 76063-3454 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| 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 |
|---|---|---|---|---|
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1457992828 | Mansfield Modern Dentistry, PC | Dentist | 287 School St Ste 120, Mansfield, MA 02048-1850 | 2019-10-07 |
| 1457828493 | Soh of Texas Samson Liu Pllc | Dentist | 2170 Matlock Rd, Mansfield, TX 76063-3814 | 2018-10-29 |
| 1336614924 | Dentists of Mansfield PC | Dentist | 2891 Matlock Rd Ste 101, Mansfield, TX 76063-5383 | 2018-10-10 |
| 1700307014 | Margaret Hirsch | Dentist | 747 Highway 287 N Ste A, Mansfield, TX 76063-2619 | 2017-06-28 |
| 1295288892 | Rachel Todd | Dentist | 1809 Yarmouth Ln, Mansfield, TX 76063-2900 | 2016-07-31 |
| 1548656978 | Janice Hernandez | Dentist | 3806 E Broad St Ste 108, Mansfield, TX 76063-5621 | 2015-04-13 |
| 1619316866 | Jonathan Adam Wilson | Dentist | 425 W Cook Rd, Mansfield, OH 44907-2300 | 2013-06-20 |
| 1275979981 | P'jay Merrell | Dentist | 3302 Richmond Circle, Mansfield, TX 76063-5187 | 2013-05-21 |
| 1114273430 | Daniel Nnadiugwu Nnadiugwu | Dentist | 1521 E Debbie Ln, Mansfield, TX 76063-3341 | 2012-07-25 |
| Find all providers in MANSFIELD | ||||
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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.