FRESH SMILES-LA GRANGE PLLC (NPI# 1881167484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881167484 |
| Entity Type | Organization |
| Organization Name | FRESH SMILES-LA GRANGE PLLC |
| Practice Address |
2001 W State Highway 71 Ste 20 La Grange TX 78945-5057 |
| Mailing Address |
1261 W Green Oaks Blvd Ste 101 Arlington TX 76013-8349 |
| Practice Telephone | 9796333111 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | TEE SEMERA (CREDENTIALING) |
| Authorized Official Telephone | 4695569000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2001 W STATE HIGHWAY 71 STE 20 |
| City | LA GRANGE |
| State | TX |
| Zip Code | 78945-5057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406739 | Lisa Faye Cummings | Pharmacist | 1915 W. St. Hwy 71 Business, La Grange, TX 78945 | 2020-10-30 |
| 1326515750 | Teresa Kay Carmack | Occupational Therapist | Care Inn of La Grange, 457 N. Main Street, La Grange, TX 78945 | 2018-10-24 |
| 1417496415 | Fresh Smiles Pllc | Dentist | 2001 W. St Hwy 71, Suite 20, La Grange, TX 78945 | 2017-02-23 |
| 1871031443 | Debra Kay Hall | Physical Therapist | 530 W. Lafayette St, Lagrange, TX 78945 | 2017-02-03 |
| 1467840348 | Veronica Olivares-garza | Occupational Therapist | 260 West Live Oak St, La Grange, TX 78945 | 2014-12-31 |
| 1265843874 | Kinuyo Henderson | Family Medicine | 1253 N. Von Minden, La Grange, TX 78945 | 2014-05-16 |
| 1861678880 | Fayette County | Health Maintenance Organization | 151 N Washington St Rm 301, La Grange, TX 78945 | 2008-01-22 |
| 1023215480 | Charlotte Blauert Reilly | Nurse Anesthetist, Certified Registered | 1 St. Marks Place, La Grange, TX 78945 | 2007-06-29 |
| 1770639379 | Sage Professional Consulting Corporation | Psychologist | Two Saint Mark's Pl Ste 147, La Grange, TX 78945 | 2007-01-26 |
| 1457416489 | Timothy Long | Chiropractor | 464 E Guadalupe, La Grange, TX 78945 | 2006-12-27 |
| Find all providers in zip 78945 | ||||
| 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 |
|---|---|---|---|---|
| 1992042311 | William E. Gipson | Dentist | 6 South 6th Ave, La Grange, IL 60525-2401 | 2013-01-04 |
| 1841454592 | Kiley Nicole Hirons | Dentist | 1 W Harris Ave Ste 2a, La Grange, IL 60525-2497 | 2008-07-11 |
| 1528251246 | Elham Yahya Sharaf -eldeen | Dentist | 1 W Harris Ave, 2a, La Grange, IL 60525-2496 | 2007-08-27 |
| 1134327000 | Jeffrey S Garbe | Dentist | 606 W Burlington Ave, La Grange, IL 60525-2228 | 2007-07-03 |
| 1497979645 | William E Gipson Dds PC | Dentist | 6 So Sixth Ave, La Grange, IL 60525-2401 | 2007-04-12 |
| 1003941899 | Kent S. Denton | Dentist | 515 S Caswell St, La Grange, NC 28551-2005 | 2007-02-22 |
| 1316080765 | Janet Visanescu | Dentist | 120 E Adams St Ste 1, La Grange, KY 40031-1278 | 2007-02-15 |
| 1174699623 | Philip J Girgis Dmd PC | Dentist | 4707 Willow Springs Rd, La Grange, IL 60525-6144 | 2006-11-27 |
| 1649351875 | Lawrence J. Hatfield Jr. | Dentist | 220 W Guadalupe St, La Grange, TX 78945-1926 | 2006-10-17 |
| 1972514115 | Nancy D. Cozzi | Dentist | 1400 W 47th St, Suite 8, La Grange, IL 60525-6141 | 2006-08-11 |
| Find all providers in LA GRANGE | ||||
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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.