ROSA MORA D.D.S (NPI# 1114154952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114154952 |
| Entity Type | Organization |
| Organization Name | ROSA MORA D.D.S |
| Practice Address |
921 E Main Ave Suite2 Alton TX 78573-0952 |
| Mailing Address |
921 E Main Ave Suite 2 Mission TX 78573 |
| Practice Telephone | 9565835050 |
| Practice Fax Number | 9565835067 |
| Mailing Telephone | 9565835050 |
| Mailing Fax Number | 9565835067 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |
| Authorized Official Name | MRS. ROSA MORA (OWNER) |
| Authorized Official Telephone | 9565835050 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 20419 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 151616301 | 05 |
| Street Address |
921 E MAIN AVE SUITE2 |
| City | ALTON |
| State | TX |
| Zip Code | 78573-0952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134398118 | Celeste Yvette Trevino-garza | Specialist/Technologist | 921 E Main Ave, Alton, TX 78573-0952 | 2008-02-25 |
| 1336758721 | Joshua Aaron Champion | Dentist | 921 E Main Ave, Alton, TX 78573-1605 | 2020-07-30 |
| 1467991208 | Alton Dentistry, Pllc | Dentist | 921 E Main Ave, Suite 2, Alton, TX 78573-1605 | 2017-02-13 |
| 1306299870 | Belinda Aguilar | Occupational Therapy Assistant | 921 E Main Ave, Ste. 5, Alton, TX 78573-1605 | 2016-07-19 |
| 1831369339 | Analea Cavazos | Specialist/Technologist | 921 E Main Ave, Suite 5, Alton, TX 78573-0952 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003477399 | Andrew Hoseung Ryu | Dentist | 4322 N Conway Ave., Ste 104, Palmhurst, TX 78573 | 2019-06-26 |
| 1700302460 | Viva Phc, LLC | Home Health | 2802 E Bluebonnet Ln, Mission, TX 78573 | 2017-08-15 |
| 1780070201 | Bc Corp Pllc | Dentist | 228 E 3 Mile Rd, Ste 101, Palmhurst, TX 78573 | 2015-04-10 |
| 1487064465 | El Rancho Adult Day Care | Clinic/Center | 1905 W 3 Mile Rd., Ste. 1600 & 1700, Mission, TX 78573 | 2014-04-30 |
| 1902237597 | Well-care Rx & Dme, LLC | Durable Medical Equipment & Medical Supplies | 8115 N Los Ebanos Rd Ste 5, Alton, TX 78573 | 2013-12-06 |
| 1417380825 | H-e-b, Lp | Clinical Medical Laboratory | 120 East Mile 3rd Road, Palmhurst, TX 78573 | 2013-08-21 |
| 1841532975 | C-pharmrx,llc | Pharmacy | 1315 West Main Avenue, Suite 13b, Alton, TX 78573 | 2013-03-27 |
| 1548509466 | Palli-med Hospice LLC | Hospice Care, Community Based | 1310 E. Main Ave, Suite B, Alton, TX 78573 | 2013-02-13 |
| 1144568957 | Julio Cesar Bravo | Nurse Practitioner | 2001 W. 3 Mile Rd., Suite 2500, Mission, TX 78573 | 2013-01-29 |
| 1447597653 | Alton Childrens Care Clinic, P.a. | Pediatrics | 8115 North Los Ebanos Road, Alton, TX 78573 | 2013-01-08 |
| Find all providers in zip 78573 | ||||
| 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 |
|---|---|---|---|---|
| 1275151441 | Priya Sapra Kullar | Dentist | 3020 College Ave Apt 1, Alton, IL 62002-4746 | 2020-07-13 |
| 1922489756 | Lucas A Steele | Dentist | 2800 College Ave Bldg 273, Alton, IL 62002-4742 | 2015-06-17 |
| 1366780777 | Jaser Diaz Dds Pllc | Dentist | 3013 E Main Ave Ste B, Alton, TX 78573-0932 | 2013-01-18 |
| 1245503168 | Cyril Pandarakalam | Dentist | 2800 College Ave Bldg 288, Alton, IL 62002-4742 | 2012-02-23 |
| 1548490220 | Jaser Diaz | Dentist | 3013 E Main Ave, Ste B, Alton, TX 78573-0931 | 2009-07-16 |
| 1245414796 | Michael T Carrow | Dentist | 2708 Corner Ct, Alton, IL 62002-5328 | 2007-12-19 |
| 1265561799 | Francis Madamba | Dentist | 3432 College Ave, Alton, IL 62002-5006 | 2007-03-02 |
| 1639218803 | James H Kiehne | Dentist | 215 E Center Dr, Suite E, Alton, IL 62002-5993 | 2007-02-05 |
| 1588732663 | Mary E Lucido | Dentist | 2201 State Street, Alton, IL 62002 | 2006-11-30 |
| 1700965258 | Rosa M Mora | Dentist | 921 E Main Avenue Suite #2, Alton, TX 78573 | 2006-11-03 |
| Find all providers in ALTON | ||||
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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.