SHINY DENTAL PLLC (NPI# 1992040703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992040703 |
| Entity Type | Organization |
| Organization Name | SHINY DENTAL PLLC |
| Practice Address |
1907 S Highway 183 Ste 206 Leander TX 78641-2211 |
| Practice Telephone | 5122595000 |
| Practice Fax Number | 5122595001 |
| Mailing Telephone | 5122595000 |
| Mailing Fax Number | 5122595001 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | MELINDA JONES (OWNER) |
| Authorized Official Telephone | 5122595000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 16199 | TX | Dental Providers |
| Street Address |
1907 S HIGHWAY 183 STE 206 |
| City | LEANDER |
| State | TX |
| Zip Code | 78641-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309767 | Smile Dentistry for Children | Dentist | 1907 S Highway 183 Ste 206, Leander, TX 78641-2211 | 2019-10-31 |
| 1790197838 | Melinda Sue Jones | Dentist | 1907 S Highway 183 Ste 206, Leander, TX 78641-2211 | 2014-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877655 | Hero Medical Services, Pllc | Clinic/Center | 12621 Hero Way West, Leander, TX 78641 | 2020-10-02 |
| 1750923231 | Catherine Mary Garza | Behavioral Analyst | 2205 S Bagdad Road, Leander, TX 78641 | 2019-10-16 |
| 1770067886 | Thomas Lee Simms | Specialist | 11699 Hero Way W Ste 120, Leander, TX 78641 | 2018-09-25 |
| 1568977635 | Alyse Kathleen Paull | Nurse Practitioner | 709 S. Bagdad Rd, Leander, TX 78641 | 2017-12-11 |
| 1265961478 | Preston Hansen | Dentist | 1825 Crystal Falls Pkwy Ste 130, Leander, TX 78641 | 2017-06-09 |
| 1427584689 | Ryan Purkhiser | Student in an Organized Health Care Education/Training Program | 2321 Molly Ln, Leander, TX 78641 | 2017-05-10 |
| 1548718224 | Amberlee Boverhuis | Emergency Medical Technician, Basic | 2406 Socorro Bnd, Leander, TX 78641 | 2016-09-12 |
| 1588058093 | Rebecca Adams | Counselor | 301 N Highway 183 Ste B, Leander, TX 78641 | 2015-03-23 |
| 1609287010 | Chelsea Nicole Johnson | Pediatrics | 709 South Bagdad Road, North Austin Pediatrics, Leander, TX 78641 | 2014-05-20 |
| 1568896231 | Lisa Pomeroy | Naturopath | 801 S Highway 183 # 592, Leander, TX 78641 | 2013-08-29 |
| Find all providers in zip 78641 | ||||
| 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 |
|---|---|---|---|---|
| 1265961478 | Preston Hansen | Dentist | 1825 Crystal Falls Pkwy Ste 130, Leander, TX 78641 | 2017-06-09 |
| 1295286086 | Pct Dds Pllc | Dentist | 2529 Rusty Spur, Leander, TX 78641-8797 | 2016-10-18 |
| 1598107021 | Tiffany Simon Kondoff | Dentist | 1014 Terrace Dr, Leander, TX 78641-8036 | 2013-07-25 |
| 1003149287 | Aleksandar Todorov Gavrilov | Dentist | 901 Crystal Falls Pkwy Ste 205, Leander, TX 78641-1934 | 2009-09-07 |
| 1598976433 | Alkesh Chandrakant Sura | Dentist | 2200 Traditions Ct, Leander, TX 78641-4946 | 2007-05-24 |
| 1619045945 | Sid Kelly Steadman | Dentist | 1901 Highway 183, Leander, TX 78641 | 2006-12-04 |
| 1790197838 | Melinda Sue Jones | Dentist | 1907 S Highway 183 Ste 206, Leander, TX 78641-2211 | 2014-05-23 |
| 1447566401 | Robert Christopher Hogge | Dentist | 651 N Us Highway 183, Ste. 150, Leander, TX 78641-8990 | 2010-08-27 |
| 1306150172 | Aliisha Kathleen Choucair | Dentist | 10703 E Crystal Falls Pkwy, Leander, TX 78641-2259 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1659971653 | Richardson Heights Dental, Pllc | Dentist | 721 W Arapaho Rd Ste 101, Richardson, TX 75080-4155 | 2020-10-28 |
| 1053911396 | Ko Dental Group, PC | Dentist | 302 S. Avenue Q, Clifton, TX 76634 | 2020-10-27 |
| 1972103240 | Kla Dr Pllc | Dentist | 2100 Dallas Pkwy Ste 120, Plano, TX 75093-4394 | 2020-10-27 |
| 1255930798 | Jpm Dental Conroe | Dentist | 2104 N Frazier St Ste 140, Conroe, TX 77301-1250 | 2020-10-24 |
| 1407455173 | Perla Dental of Kaufman Pa | Dentist | 380 E Us Highway 175, Kaufman, TX 75142-3548 | 2020-10-22 |
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1770182701 | Summit Point Dental & Implant Center | Dentist | 3124 West University Drive, Mckinney, TX 75071-7507 | 2020-10-21 |
| 1760081954 | Amlan Pankaj | Dentist | 802 E Amarillo Blvd # 300, Amarillo, TX 79107-5401 | 2020-10-20 |
| 1114525581 | Ashley Roy | Dentist | 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
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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.