SOUTHWEST FAMILY DENTISTRY & ORTHODONTICS PLLC (NPI# 1780995944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780995944 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST FAMILY DENTISTRY & ORTHODONTICS PLLC |
| Practice Address |
2221 W Walnut St Garland TX 75042-6665 |
| Practice Telephone | 9722760800 |
| Mailing Telephone | 9722760800 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Authorized Official Name | CHARLIE CARMICHAEL III (OWNER) |
| Authorized Official Telephone | 9722760800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22973 | TX | Dental Providers |
| Street Address |
2221 W WALNUT ST |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-6665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447386974 | Thomas Allen Reed | Dentist | 2221 W Walnut St, Garland, TX 75042-6665 | 2007-02-26 |
| 1841831377 | Wal-dent, Pllc | Dentist | 2221 W Walnut St, Garland, TX 75042-6665 | 2019-10-07 |
| 1972934552 | Stafford Family Dentistry | Dentist | 2221 W Walnut St, Garland, TX 75042-6665 | 2013-12-06 |
| 1285897256 | Saosat Maria Olatunbosun Stafford | Dentist | 2221 W Walnut St, Garland, TX 75042-6665 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| 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 |
|---|---|---|---|---|
| 1467938407 | Craig R Baginski, Dds Inc | Dentist | 4433 Naaman Forest Blvd, Garland, TX 75040 | 2018-07-12 |
| 1124478375 | Nisha Liz John P.l.l.c | Dentist | 3046 Lavon Drive, Suite 125,127, Garland, TX 75040 | 2016-06-20 |
| 1497117014 | Hue Dental Pllc | Dentist | 5814 N Jupiter Rd, Suite 199, Garland, TX 75044 | 2016-03-23 |
| 1922474345 | Wai Mei Lee | Dentist | 1309 Belt Line Rd, Unit A, Garland, TX 75040 | 2015-08-19 |
| 1497138697 | Zachary Ryan Kingsberg | Dentist | 565 W Oates Rd Ste 150, Garland, TX 75043-5462 | 2015-07-07 |
| 1740663079 | Kendall Lynn Baginski | Dentist | 709 Ballybunion Cir, Garland, TX 75044-5125 | 2015-07-06 |
| 1518371897 | Behram Shah | Dentist | 2006 N Garland Ave, Garland, TX 75040-3302 | 2014-06-16 |
| 1205265386 | Modern Sleep Solutions Pllc | Dentist | 1215 Thomasville Ct., Garland, TX 75044 | 2013-11-08 |
| 1245671163 | South Texas Dental Associates, Lp | Dentist | 2121 W Walnut St, Garland, TX 75042-6783 | 2013-07-08 |
| 1922341643 | Cornerstone Family Dentistry, Pllc | Dentist | 3232 Broadway Blvd Ste G, Garland, TX 75043-1563 | 2013-04-01 |
| Find all providers in GARLAND | ||||
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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.