SHERNIQUE WALLACE (NPI# 1073907960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073907960 |
| Entity Type | Individual |
| Full Name | SHERNIQUE WALLACE |
| Credential | DDS |
| Practice Address |
8330 Long Point Rd Houston TX 77055 |
| Mailing Address |
807 S Post Oak Ln Apt 1416 Houston TX 77056-2268 |
| Practice Telephone | 7134614770 |
| Mailing Telephone | 7187244869 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
33849 | TX | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 059085-1 | NY | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12052 East Fwy, Houston, TX 77029 | 7134515700 | |
| 1400 Pelham Pkwy S, Bronx, NY 104611138 | 7187244869 | |
| 155 Ashland Pl, Brooklyn, NY 112015401 | 7187244869 | |
| 20 E Crosstimbers St Ste B, Houston, TX 77022 | 7136922400 |
| Street Address |
8330 LONG POINT RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497788368 | Jeffrey Walker Dongieux | Dentist | 8330 Long Point Rd, Houston, TX 77055-2023 | 2006-07-07 |
| 1245703339 | Brident Dental Associates PC | Dentist | 8330 Long Point Rd, Houston, TX 77055-2051 | 2019-01-10 |
| 1922264050 | Charles S Moser | Dentist | 8330 Long Point Rd, Houston, TX 77055-2023 | 2008-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
| 1134777238 | Cini Thomas | Nurse Practitioner | 9504 Long Point Rd, Suite E, Houston, TX 77055 | 2019-08-31 |
| 1598248056 | Jan Michael Coz | Occupational Therapy Assistant | 1341 Blalock Road, Houston, TX 77055 | 2018-09-11 |
| 1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
| 1508353129 | Amber Clarke | Nurse Practitioner | Westside Physicians Clinic, 1160 Blalock Rd, Houston, TX 77055 | 2018-04-19 |
| 1205338506 | Kelsey Samantha Gold | Registered Nurse | 7605 Wedgewood Lane, Houston, TX 77055 | 2018-03-02 |
| 1255849147 | Tan Minh Nguyen | Physical Therapy Assistant | 1341 Blalock, Houston, TX 77055 | 2018-01-13 |
| 1679097737 | Susan Degner | Social Worker | 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 | 2017-07-31 |
| 1003336413 | Solange Inzillo | Speech-Language Pathologist | 9757 Pine Lake Drive, #4025, Houston, TX 77055 | 2017-06-27 |
| 1386181618 | Gem Monika Yamon Escamilla | Nurse Practitioner | 8116 Long Point Rd, Houston, TX 77055 | 2017-01-25 |
| Find all providers in zip 77055 | ||||
| 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 |
|---|---|---|---|---|
| 1386242923 | Exquisite Dental Smiles Pllc | Dentist | 2200 Aldine Mail Route Rd # 106, Houston, TX 77039 | 2020-10-15 |
| 1568069094 | Vintage Smile Family Dentistry | Dentist | 10300 Louetta Rd, Houston, TX 77070-2121 | 2020-10-07 |
| 1093322836 | Lan Hoang Dao | Dentist | 6711 Mission Bell Dr, Houston, TX 77083-2524 | 2020-09-25 |
| 1871107714 | Nbnl Dental Pllc | Dentist | 4400 North Fwy Spc C300, Houston, TX 77022-3649 | 2020-09-08 |
| 1780293613 | Namrata Rathod | Dentist | 1255 Eldridge Pkwy Apt 126, Houston, TX 77077-2161 | 2020-07-27 |
| 1104434752 | Pavana Kulathanal Chakrapani | Dentist | 1072 Federal Rd, Houston, TX 77015-4804 | 2020-07-20 |
| 1821606039 | Po-lin Yang | Dentist | 4500 Washington Ave Ste 700, Houston, TX 77007-5478 | 2020-07-14 |
| 1053939637 | Anusha Joseph | Dentist | 306 Woodcombe Dr, Houston, TX 77062-2540 | 2020-07-09 |
| 1508482860 | Garcia- Alcover Dental Pllc | Dentist | 6720 Chimney Rock Rd Ste S, Houston, TX 77081-5640 | 2020-06-23 |
| 1205452893 | Linh Ngoc Pham | Dentist | 9207 Meadow Branch Ct, Houston, TX 77095-2753 | 2020-06-19 |
| Find all providers in HOUSTON | ||||
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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.