PURELY DENTAL GROUP PLLC S-CORP (NPI# 1073940011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073940011 |
| Entity Type | Organization |
| Organization Name | PURELY DENTAL GROUP PLLC S-CORP |
| Other Organization Name | FATE FAMILY DENTAL |
| Practice Address |
7406 State Highway 66 Royse City TX 75189 |
| Practice Telephone | 9724604422 |
| Mailing Telephone | 9724604422 |
| Enumeration Date | 2013-10-05 |
| Last Update Date | 2013-10-05 |
| Authorized Official Name | DR. ANDY DAVONG (PRESIDENT) |
| Authorized Official Telephone | 9728045624 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 25750 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Fate Family Dental | Doing Business As Name - Organization |
| Street Address |
7406 STATE HIGHWAY 66 |
| City | ROYSE CITY |
| State | TX |
| Zip Code | 75189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497052 | Kizzie Ann Coleman | Technician | 7000 W. I-30 Apt. 836, Royse City, TX 75189 | 2020-11-04 |
| 1982187381 | Corina Mcclary Wild | Chiropractor | 309 Derick Dr, Royse City, TX 75189 | 2018-09-11 |
| 1154824332 | North Texas Family Counseling and Court Services | Social Worker | 8042 Berry Court, Royse City, TX 75189 | 2018-03-14 |
| 1427558253 | Tenaya Negron | Licensed Vocational Nurse | 1105 Northwood Lane, Royse City, TX 75189 | 2018-02-19 |
| 1982113601 | Royse City Er LLC | Clinic/Center | 890 S Erby Campbell Blvd, Royse City, TX 75189 | 2017-09-26 |
| 1093267775 | Royse City Family Dentistry Pllc | Dentist | 554 W Interstate 30, Royse City, TX 75189 | 2016-10-28 |
| 1740631613 | Dentist Tree PC | Dentist | 921 South Erby Campbell Blvd, Ste 500, Royse City, TX 75189 | 2016-06-22 |
| 1922483155 | Wal-mart Stores Texas, LLC | Technician/Technologist | 494 W. Interstate 30, Royse City, TX 75189 | 2015-07-29 |
| 1558745430 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 476 W I-30, Royse City, TX 75189 | 2015-07-10 |
| 1972843761 | Edmon R Hutchison Dds Pllc | Dentist | 522 East Highway 66, Royse City, TX 75189 | 2013-02-15 |
| Find all providers in zip 75189 | ||||
| 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 |
|---|---|---|---|---|
| 1740631613 | Dentist Tree PC | Dentist | 921 South Erby Campbell Blvd, Ste 500, Royse City, TX 75189 | 2016-06-22 |
| 1144608787 | Belinda Young Song | Dentist | 7406 W State Highway 66, Royse City, TX 75189-4166 | 2015-05-15 |
| 1972843761 | Edmon R Hutchison Dds Pllc | Dentist | 522 East Highway 66, Royse City, TX 75189 | 2013-02-15 |
| 1215224456 | Obafemi O Adenuga | Dentist | 931 S Erby Campbell Blvd, Suite B, Royse City, TX 75189 | 2011-07-08 |
| 1235443391 | Andy Davong | Dentist | 7406 W. State Highway 66, Royse City, TX 75189-4166 | 2010-07-31 |
| 1669795662 | Henry Jakob Wachtendorf | Dentist | 2763 Epps Rd, Royse City, TX 75189-2803 | 2010-03-04 |
| 1205162773 | John Kuan | Dentist | 125 I 30 E, Ste H, Royse City, TX 75189-7512 | 2009-10-19 |
| 1831329762 | Edmon Ray Hutchison | Dentist | 522 E. Highway 66, Royse City, TX 75189 | 2009-07-27 |
| 1730240409 | Royse City Dental | Dentist | 522 E Hwy 66, Royse City, TX 75189 | 2006-12-13 |
| 1225300353 | Texas Dental Homes Pllc | Dentist | 125 W Interstate 30, Suite 109, Royse City, TX 75189-7512 | 2012-02-06 |
| Find all providers in ROYSE CITY | ||||
| City | ROYSE CITY |
| Zip Code | 75189 |
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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.