DENTAL IMPLANT SURGERY CENTER (NPI# 1134158330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134158330 |
| Entity Type | Organization |
| Organization Name | DENTAL IMPLANT SURGERY CENTER |
| Practice Address |
7965 Custer Road Suite 114 Plano TX 75025-3155 |
| Practice Telephone | 9725274867 |
| Practice Fax Number | 9726651818 |
| Mailing Telephone | 9725274867 |
| Mailing Fax Number | 9726651818 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | DR. EDWARD A SHINEDLING (PRINCIPAL SURGEON, PRESIDENT) |
| Authorized Official Telephone | 9725274867 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
18760 | TX | Dental Providers |
| Street Address |
7965 CUSTER ROAD SUITE 114 |
| City | PLANO |
| State | TX |
| Zip Code | 75025-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425982 | Mary Deena Jacob | Nurse Practitioner | 2865 Mcdermott Rd #225, Plano, TX 75025 | 2019-03-05 |
| 1093295545 | Surgery Center 121 LLC | Clinic/Center | 9955 Gillespie Drive Suite 200, Plano, TX 75025 | 2018-08-15 |
| 1902383136 | Quang Dangtran | Adult Companion | 7604 Stoney Point Dr, Plano, TX 75025 | 2018-07-20 |
| 1598256851 | Rachel J Dove | Behavioral Analyst | 8900 Smokey Dr, Plano, TX 75025 | 2018-05-22 |
| 1659879641 | Beatrice Wambui Ngaruiya | Pharmacist | 312 Preston Rd, Plano, TX 75025 | 2018-01-25 |
| 1841718392 | Ngonje Emilia Dibaki | Community Health Worker | 7900 Stable Glen Drive, Plano, TX 75025 | 2017-09-05 |
| 1497280408 | Js Pedodontics Pllc | Dentist | 3555 National Drive, Ste. 200, Plano, TX 75025 | 2017-04-27 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1982147708 | Dentspan Pllc | Dentist | 3680 Sh 121, 100, Plano, TX 75025 | 2016-11-28 |
| 1669827093 | Raz Silberman | Community Health Worker | 9708 Congressional Dr, Plano, TX 75025 | 2016-05-04 |
| Find all providers in zip 75025 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891237038 | Planotop,inc | Dentist | 8000 Coit Rd, #200, Plano, TX 75025-6819 | 2016-11-04 |
| 1598996852 | Rashmi Hegde | Dentist | 5933 Dallas Pkwy, Suite 100, Plano, TX 75093-8520 | 2009-08-05 |
| 1548395064 | Jeffrey Glaser | Dentist | 3800 W 15th St Ste 124, Plano, TX 75075-7726 | 2007-02-23 |
| 1649600966 | David Dean I | Dentist | 3900 American Dr, Suite 101, Plano, TX 75075-6191 | 2013-11-22 |
| 1942433727 | Paul Chi-lin Tsai | Dentist | 4949 Hedgcoxe Rd, Suite 160, Plano, TX 75024-3898 | 2009-08-27 |
| 1306067632 | Stephen L. Bass | Dentist | 5932 W Parker Rd, Suite 700, Plano, TX 75093-6425 | 2007-05-02 |
| 1720209067 | Elizabeth Ellen Hall | Dentist | 5932 W Parker Rd, Suite 700, Plano, TX 75093-6425 | 2007-05-02 |
| 1538382114 | North Texas Periodontal Associates | Dentist | 3900 American Dr, 101, Plano, TX 75075-6191 | 2007-04-11 |
| 1760486252 | Elizabeth Draughon Jaynes | Dentist | 5800 Coit Rd, Ste 300, Plano, TX 75023-5944 | 2005-06-13 |
| 1659375095 | Marshall Verner Johnson | Dentist | 5800 Coit Rd, Ste 300, Plano, TX 75023-5944 | 2005-06-13 |
| Find all providers in PLANO | ||||
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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.