DR. MICHAEL SHAYNE CONNALLY (NPI# 1114099371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114099371 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHAYNE CONNALLY |
| Credential | DDS |
| Practice Address |
1801 Heritage Blvd Midland TX 79707 |
| Practice Telephone | 4326848289 |
| Practice Fax Number | 4326994644 |
| Mailing Telephone | 4326848289 |
| Mailing Fax Number | 4326994644 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19710 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306150644 | Michael James Connally | Orthopaedic Surgery | 1115 Margate Dr, Pearland, TX 77584-2347 | 2010-07-28 |
| Street Address |
1801 HERITAGE BLVD |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| 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 |
|---|---|---|---|---|
| 1598381683 | Jessica Viridiana Covarrubias | Dentist | 2817 W Loop 250 N Ste B, Midland, TX 79705-3205 | 2020-06-24 |
| 1912463738 | Jb Dental Designs Inc. | Dentist | 5109 W Wadley Ave, Midland, TX 79707-5101 | 2019-02-17 |
| 1760978977 | Chesley Orr | Dentist | 2817-b Loop 250 Frontage Rd, Midland, TX 79705-7970 | 2018-07-11 |
| 1184171944 | Zhihui Wang | Dentist | 1000 N Midkiff Rd Ste B-6, Midland, TX 79701-2101 | 2016-09-08 |
| 1619326519 | Marina Michael | Dentist | 4400 N Midland Dr Ste 702, Midland, TX 79707-3456 | 2016-06-10 |
| 1013364736 | Andrew Grillo | Dentist | 600 Shirewood Ln, Midland, MI 48642-7065 | 2016-05-23 |
| 1477927143 | Plev Mid Plc | Dentist | 1520 Joe Mann Blvd, Midland, MI 48642-8902 | 2015-11-18 |
| 1336579242 | Joseph Bednark | Dentist | 2802 N Saginaw Rd, Midland, MI 48640-2634 | 2013-11-14 |
| 1023446473 | Casi Lyn Noel | Dentist | 4005 Radcliff Ct, Midland, TX 79707-4636 | 2013-10-23 |
| 1639418403 | Ayotunde Oluyomi Esho | Dentist | 2101 N Midland Dr Ste 14, Midland, TX 79707-5593 | 2013-02-13 |
| Find all providers in MIDLAND | ||||
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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.