I-20 ORAL SURGERY PLLC (NPI# 1184091340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184091340 |
| Entity Type | Organization |
| Organization Name | I-20 ORAL SURGERY PLLC |
| Practice Address |
2200 W I 20 Suite 300 Arlington TX 76017-1648 |
| Practice Telephone | 8179622318 |
| Practice Fax Number | 8174687779 |
| Mailing Telephone | 8179622318 |
| Mailing Fax Number | 8174687779 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | DR. JED HILDEBRAND (DOCTOR) |
| Authorized Official Telephone | 8174684141 |
| Authorized Official Credential | D.D.S., M.S.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
2200 W I 20 SUITE 300 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1235526328 | Ryan Patel | Dentist | 1340 S Rolfe St, Arlington, VA 22204-4750 | 2015-04-16 |
| 1306067004 | James Hadley Hall | Dentist | 2304 Interstate 20 W, #150, Arlington, TX 76017-1668 | 2007-05-01 |
| 1548328222 | Paul Edward Menton | Dentist | 847 W Mitchell St, Arlington, TX 76013-2506 | 2006-12-05 |
| 1306915673 | John V Shroyer | Dentist | 2712 Matlock Rd, Arlington, TX 76015 | 2006-11-08 |
| 1215919337 | Haroon Ismaili | Dentist | 2304 W Interstate 20, Suite 150, Arlington, TX 76017-1668 | 2005-11-15 |
| 1306842273 | Stephen C Walters | Dentist | 2200 West Interstate 20, Suite 300, Arlington, TX 76017 | 2005-06-24 |
| 1538572961 | Paul E Menton Dds Inc | Dentist | 847 W Mitchell St, Arlington, TX 76013-2506 | 2014-06-03 |
| Find all providers in ARLINGTON | ||||
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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.