NORTHWEST DENTAL ASSOCIATES P.A.


Address: 11066 Pecan Park Blvd., Suite #411, Cedar Park, TX 78613
Phone: 5122197484

NORTHWEST DENTAL ASSOCIATES P.A. (NPI# 1093196644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093196644
Entity Type Organization
Organization Name NORTHWEST DENTAL ASSOCIATES P.A.
Practice Address 11066 Pecan Park Blvd.
Suite #411
Cedar Park
TX 78613
Practice Telephone 5122197484
Practice Fax Number 5122196505
Mailing Telephone 5122197484
Mailing Fax Number 5122196505
Enumeration Date 2015-06-09
Last Update Date 2015-06-09
Authorized Official Name MR. TOAI C. PHAM (DOCTOR/OWNER)
Authorized Official Telephone 5122197484
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
18096 TX Dental Providers

Office Location

Street Address 11066 PECAN PARK BLVD.
SUITE #411
City CEDAR PARK
State TX
Zip Code 78613

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1265907828 Mary Kathleen Williams Clinical Nurse Specialist 1103 Pagedale Drive, Cedar Park, TX 78613 2018-10-10
1982187514 Elizabeth Harwell Physical Therapy Assistant 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 2018-09-10
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710586029 Whitestone Dental Center Pllc Dentist 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 2020-10-19
1477039394 Nhd Pllc Dentist 1775 Bagdad Rd Ste D, Cedar Park, TX 78613-6446 2018-07-13
1710425061 Hk Dental Group Dentist 115 S Lakeline Blvd, Cedar Park, TX 78613 2017-02-07
1588010565 Blooming Dental Pllc Dentist 111 N Vista Ridge Blvd, Ste 100, Cedar Park, TX 78613-0000 2016-05-10
1497112940 Dr.apurva Arjarapu Dental Care PC Dentist 1821 South Lakeline Blvd. #101, Cedar Park, TX 78613 2016-01-27
1508270166 Twinsca, Pllc Dentist 905 E Whitestone Blvd, Ste D, Cedar Park, TX 78613-9096 2014-06-11
1023439064 Dental Health Associates of Tx, PC Dentist 1468 E Whitestone Blvd, Suite 500, Cedar Park, TX 78613-9094 2013-12-18
1205175403 Seema Patel Dentist 1455 E Whitestone Blvd, Suite 127, Cedar Park, TX 78613-7722 2013-02-07
1417292475 Shane Weston Whisenant Dentist 2501 S Lakeline Blvd, Cedar Park, TX 78613-2962 2012-12-03
1942576319 Sireesha R Moola Dentist 409 Dry Gulch Bnd, Cedar Park, TX 78613-3172 2012-03-29
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Competitor

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City CEDAR PARK
Zip Code 78613

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Dataset Information

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.

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