ROANOKE DENTAL GROUP,PC (NPI# 1952760050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952760050 |
| Entity Type | Organization |
| Organization Name | ROANOKE DENTAL GROUP,PC |
| Other Organization Name | ROANOKE DENTAL GROUP AND ORTHODONTICS |
| Practice Address |
1320 N Hwy 377 Suite 100 Roanoke TX 76262 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 8173450695 |
| Practice Fax Number | 8176358439 |
| Mailing Telephone | 7148458701 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | DR. CHINMAY N DAVE (OWNER DOCTOR) |
| Authorized Official Telephone | 8173450695 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Roanoke Dental Group and Orthodontics | Doing Business As Name - Organization |
| Street Address |
1320 N HWY 377 SUITE 100 |
| City | ROANOKE |
| State | TX |
| Zip Code | 76262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025611 | Freeform Chiropractic Trophy Club LLC | Chiropractor | 2240 Sh 114, Suite 650, Trophy Club, TX 76262 | 2020-02-20 |
| 1932748498 | Legacy Physical Therapy and Wellness | Physical Therapist | 351 N Byron Nelson Blvd, Suite 110, Roanoke, TX 76262 | 2020-01-02 |
| 1497399687 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | 2019-10-31 |
| 1710470810 | Maria Guadalupe Madera | Dentist | 5000 Highway 114, Unit 130, Northlake, TX 76262 | 2018-06-13 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1144746561 | Lone Star Neurosurgical Assistants | Physician Assistant | 1270 Casa Bella Ct, Westlake, TX 76262 | 2017-08-17 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1912367228 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 35 Arta Dr, Westlake, TX 76262 | 2016-02-29 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| 1881075927 | Kimberly Blythe Mcpherson | Optometrist | 72 Andorra Dr, Westlake, TX 76262 | 2015-06-15 |
| Find all providers in zip 76262 | ||||
| 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 |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1447776463 | Dima Zakhour | Dentist | 2840 Hershberger Rd Nw, Roanoke, VA 24017-1911 | 2017-08-22 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| 1982086609 | Chelsea Randall | Dentist | 2523 Rosalind Ave Sw, Roanoke, VA 24014-2370 | 2015-06-19 |
| 1306225529 | Ideal Dental of Roanoke Pllc | Dentist | 860 East Highway 114, Suite 200, Roanoke, TX 76262 | 2015-05-20 |
| 1609210962 | Claire Dickey Farr | Dentist | 1510 Franklin Rd Sw, Roanoke, VA 24016-5207 | 2013-04-17 |
| 1104181254 | Juliet Adobea Wryter | Dentist | 5002 Airport Rd Nw Unit 130, Roanoke, VA 24012-1607 | 2012-07-05 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| Find all providers in ROANOKE | ||||
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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.