BEAUTIFUL DENTAL PLLC (NPI# 1134774789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134774789 |
| Entity Type | Organization |
| Organization Name | BEAUTIFUL DENTAL PLLC |
| Practice Address |
1809 Tulane Dr Lufkin TX 75901-5637 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 9362253544 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | ANITA KNOX (OWNER) |
| Authorized Official Telephone | 9362253544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1809 TULANE DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75901-5637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225316417 | Anupama Singh Thapar | Dentist | 1809 Tulane Dr, Aspen Dental, Lufkin, TX 75901 | 2011-07-22 |
| 1649765629 | Nosakhare Idehen | Dentist | 1809 Tulane Dr, Lufkin, TX 75901-5637 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485176 | Dana Caroline Carter | Physical Therapist | 211 South Timberland, Lufkin, TX 75901 | 2017-09-05 |
| 1720433865 | Irene Ifeyinwa Uke | Nurse Practitioner | East Texas Behavioral Health Network, 2001 S Medford Dr., Lufkin, TX 75901 | 2016-04-26 |
| 1679889901 | A 2 Y Investments | Durable Medical Equipment & Medical Supplies | 5038 Champions Drive, Lufkin, TX 75901 | 2010-08-24 |
| 1477731321 | Anita K Scoggins | Speech-Language Pathologist | 4100 S Medford Dr Ste 208, Lufkin, TX 75901 | 2008-02-02 |
| 1891982104 | Assisted Living Concepts Inc | Assisted Living Facility | 406 Gobblers Knob Road, Lufkin, TX 75901 | 2007-10-01 |
| 1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
| 1609941921 | Norman Allan Beard | Hearing Instrument Specialist | 2001 N Timberland Dr., Lufkin, TX 75901 | 2006-11-21 |
| 1619077708 | Brian Thomas Spore | Family Medicine | 3804 S Medford, Lufkin, TX 75901 | 2006-09-25 |
| 1689634495 | Charles Bryan Pool | Chiropractor | 1400 E Denman Avenue, Lufkin, TX 75901 | 2006-03-24 |
| 1700845682 | Tracy Renee Moss | Physical Therapist | 211 S Timberland Dr, Regional Physical Therapy, Lufkin, TX 75901 | 2006-03-21 |
| Find all providers in zip 75901 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245738137 | Warren Alyse Dental Group, Pllc | Dentist | 102 Christie Dr, Lufkin, TX 75904-5534 | 2018-01-25 |
| 1366972622 | Haley Brianne Bennett | Dentist | 1601 S John Redditt Dr, Lufkin, TX 75904-5483 | 2017-06-19 |
| 1811371644 | Jeremiah Brown | Dentist | 103 N Brentwood Ste 400, Lufkin, TX 75904-7147 | 2015-07-10 |
| 1063661361 | Omalara M Fadare | Dentist | 400 N Timberland Dr, Lufkin, TX 75901-0460 | 2008-09-11 |
| 1619141637 | Thomas Marion Croley | Dentist | 715 Southwood Dr, Lufkin, TX 75904-4531 | 2008-04-22 |
| 1710191432 | Merrick Goodwin Roche | Dentist | 1502 S John Redditt Dr, Lufkin, TX 75904-5454 | 2007-05-10 |
| 1700903671 | Robert Edward Levens | Dentist | 111 Gaslight Blvd Ste A, Lufkin, TX 75904-3189 | 2007-03-23 |
| 1629100714 | Amy L Ross | Dentist | 111 Christie Dr, Lufkin, TX 75904-5575 | 2007-03-12 |
| 1649302860 | Andrew B Jordan Jr. | Dentist | 1405 S John Redditt Dr, Lufkin, TX 75904-4811 | 2007-03-12 |
| 1124183330 | Kelly Hartnett Mcdermott | Dentist | 111 Gaslight Blvd, Suite A, Lufkin, TX 75904-3188 | 2006-12-27 |
| Find all providers in LUFKIN | ||||
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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.