ABILENE SMILECRAFTERS, PLLC (NPI# 1215266093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215266093 |
| Entity Type | Organization |
| Organization Name | ABILENE SMILECRAFTERS, PLLC |
| Practice Address |
1034 N Willis St Abilene TX 79603-4622 |
| Practice Telephone | 3256738164 |
| Practice Fax Number | 3256730812 |
| Mailing Telephone | 3256738164 |
| Mailing Fax Number | 3256730812 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | DR. JEANNE HANSEN BAYLESS (OWNER) |
| Authorized Official Telephone | 3256738164 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12014 | TX | Dental Providers |
| Street Address |
1034 N WILLIS ST |
| City | ABILENE |
| State | TX |
| Zip Code | 79603-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962419697 | Mark Richmond Bullock | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2006-08-02 |
| 1689167116 | Totrinh Tran | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2018-06-09 |
| 1871971317 | Abbeville Dentistry - Abilene Pllc | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2015-05-18 |
| 1013283613 | Kyung Mook Park | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2012-03-28 |
| 1568507887 | Jeanne Hansen Bayless | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992248249 | Chirise Gray | Nurse Practitioner | 2110 N Willis St, Suite B, Abilene, TX 79603 | 2016-11-18 |
| 1598155855 | Cindy Hess | Nurse Practitioner | 2110 North Willis, Pregnancy Resources of Abilene, Abilene, TX 79603 | 2015-01-26 |
| 1558605147 | Farisa F Ali | Pharmacist | 991 North Willis Street, Abilene, TX 79603 | 2012-11-20 |
| 1871709543 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 A Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
| 1114133873 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 B Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
| 1740306083 | Eleanor E Bennett | Technician | 1460 Mimosa Drive, Abilene, TX 79603 | 2007-03-21 |
| 1104935857 | Greg Walter Waldrip | Chiropractor | 3301 N 3rd #134, Abileue, TX 79603 | 2006-08-29 |
| 1093727059 | Mark Nelson Tate | Dentist | 1025 Glenhaven, Abilene, TX 79603 | 2006-08-11 |
| 1912944299 | Express Medical Supply, Ltd. | Durable Medical Equipment & Medical Supplies | 3122 N 1st St, Abilene, TX 79603 | 2006-06-02 |
| 1326015959 | Megan Lee Kendall | Dietitian, Registered | 765 Orange, Abilene, TX 79603 | 2006-03-02 |
| Find all providers in zip 79603 | ||||
| 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 |
|---|---|---|---|---|
| 1336293091 | Charles R Bloomer | Dentist | 5200 Buffalo Gap Rd Ste B, Abilene, TX 79606-4151 | 2007-01-22 |
| 1316360373 | Abilen Oral and Maxillofacial Surgery Associates Pllc | Dentist | 4 Hospital Dr, Abilene, TX 79606-5289 | 2014-01-28 |
| 1295916450 | Ryan Q. Green | Dentist | 1904 Pine St, Suite 1-d, Abilene, TX 79601-2449 | 2007-11-16 |
| 1669543500 | James Allen Neece | Dentist | 2225 S Danville Dr, Suite 4, Abilene, TX 79605-4779 | 2006-11-13 |
| 1245258300 | Joe Lynn Kethley Jr. | Dentist | 950 N 19th St, Suite 200, Abilene, TX 79601-2494 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
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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.