SDS-BILL OWENS PKWY PLLC (NPI# 1801301643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801301643 |
| Entity Type | Organization |
| Organization Name | SDS-BILL OWENS PKWY PLLC |
| Practice Address |
2840 Bill Owens Pkwy Ste B Longview TX 75605-2150 |
| Practice Telephone | 9037592261 |
| Mailing Telephone | 9037592261 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | DR. SAMUEL CHRISTOPHER MACK (MANAGER) |
| Authorized Official Telephone | 9032364050 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
32168 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13770 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609349612 | Sds-bill Owens Pkwy Pllc | Dentist | 3 Doctor Cir, Longview, TX 75605-5050 | 2019-01-03 |
| Street Address |
2840 BILL OWENS PKWY STE B |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855703 | Longview Family and Emergancy Dental Care Pllc | Clinic/Center | 2840 Bill Owens Pkwy Ste B, Longview, TX 75605-2150 | 2019-11-16 |
| 1184110181 | Matthew Jordan Hughes | Dentist | 2840 Bill Owens Pkwy Ste B, Longview, TX 75605-2150 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1124681564 | Travis L Kendall Dds Pllc | Dentist | 444 Forest Sq Ste E, Longview, TX 75605-4463 | 2019-04-22 |
| 1609349612 | Sds-bill Owens Pkwy Pllc | Dentist | 3 Doctor Cir, Longview, TX 75605-5050 | 2019-01-03 |
| 1699272088 | Gur Simran Aurora | Dentist | 3052 N Eastman Rd Ste 108, Longview, TX 75605-5013 | 2018-04-11 |
| 1780104836 | Timothy John Gengel | Dentist | 444 Forest Sq Ste 1, Longview, TX 75605-4400 | 2017-06-20 |
| 1154878551 | Olivia Joelle Ndoutoume | Dentist | 2801 Bill Owens Pkwy, Apt 279, Longview, TX 75605-2115 | 2016-09-02 |
| 1659793396 | Jared A Franson, Dmd, Ps | Dentist | 2020 9th Ave Ste A, Longview, WA 98632-4072 | 2014-01-15 |
| 1619300332 | Robert Byron Shelton | Dentist | 905 Walnut Hill Dr Ste 1, Longview, TX 75605-5084 | 2013-08-16 |
| 1790128189 | Shiney George | Dentist | 710 Estes Dr, Longview, TX 75602-6120 | 2013-04-16 |
| 1740560911 | Mark D Teigen Dds Ps | Dentist | 1105 14th Ave, Longview, WA 98632-3016 | 2011-08-19 |
| 1801182803 | Scott Christopher Roberts | Dentist | 444 Forest Sq Ste F, Longview, TX 75605-4400 | 2011-06-28 |
| Find all providers in LONGVIEW | ||||
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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.