IMAGDENT ABILENE, LP (NPI# 1831522457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831522457 |
| Entity Type | Organization |
| Organization Name | IMAGDENT ABILENE, LP |
| Practice Address |
4400 Buffalo Gap Rd Ste. 0475 Abilene TX 79606-2723 |
| Mailing Address |
14329 San Pedro Ave Ste. C San Antonio TX 78232-4388 |
| Practice Telephone | 3252328692 |
| Mailing Telephone | 2104041215 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | MR. BRET ROYAL (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 2104041215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | Laboratories |
| Street Address |
4400 BUFFALO GAP RD STE. 0475 |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497744833 | Deborah E Johnson | Nurse Anesthetist, Certified Registered | 4400 Buffalo Gap Rd, Suite 2250, Abilene, TX 79606-2723 | 2005-10-18 |
| 1861615999 | George W Butler | Counselor | 4400 Buffalo Gap Rd, Ste 3975, Abilene, TX 79606-2723 | 2007-04-10 |
| 1770647083 | Leon Johnson | Counselor | 4400 Buffalo Gap Rd, Ste 3400-c, Abilene, TX 79606-2723 | 2006-12-21 |
| 1811986193 | Gerald H Ford | Nurse Anesthetist, Certified Registered | 4400 Buffalo Gap Rd, Suite 2250, Abilene, TX 79606-2723 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223960 | Avilab Dental Services LLC | Dental Laboratory | 5115 Buffalo Speedway Ste 700, Houston, TX 77005-4213 | 2020-07-27 |
| 1457969909 | Five Star Orthodontic Laboratory & Supply, Inc. | Dental Laboratory | 2928 Metro St Ste 102, Denton, TX 76207-4304 | 2020-07-21 |
| 1316182033 | Wilson Radiographic Centers of Houston, Inc | Dental Laboratory | 8313 Southwest Fwy Ste 230, Houston, TX 77074-1613 | 2008-12-09 |
| 1932363967 | Jon's Dental Laboratory Inc. | Dental Laboratory | 111 Alan A Dale Cir, Denton, TX 76209-1302 | 2008-07-18 |
| 1942461405 | Highland Dental Laboratory, LLC | Dental Laboratory | 4054 Mckinney Ave Ste 103, Dallas, TX 75204-2050 | 2008-06-18 |
| 1023161510 | Texas Tech University Health Sciences Center At Amarillo | Dental Laboratory | 206 Ne 7th Ave, Amarillo, TX 79107-5214 | 2007-01-19 |
| 1174762967 | Austin Cone Beam Imaging | Dental Laboratory | 3305 Northland Dr, Suite 210, Austin, TX 78731-4961 | 2009-02-18 |
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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.