CENTRAL TEXAS FAMILY DENTISTRY PC (NPI# 1235553900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235553900 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS FAMILY DENTISTRY PC |
| Practice Address |
1117 Ranch Road 1431 Kingsland TX 78639-4055 |
| Mailing Address |
Po Box 1606 Kingsland TX 78639-1606 |
| Practice Telephone | 3253886021 |
| Practice Fax Number | 3253889991 |
| Mailing Telephone | 3253886021 |
| Mailing Fax Number | 3253889991 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | DR. ROBERT EDWIN SAWYER (PRESIDENT) |
| Authorized Official Telephone | 8329140000 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | KINGSLAND PROFESSIONAL PROPERTY L.L.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
28332 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPPES | 1780933374 | 01 |
| Street Address |
1117 RANCH ROAD 1431 |
| City | KINGSLAND |
| State | TX |
| Zip Code | 78639-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659418416 | John J Johnson IIi | Dentist | 1117 Ranch Road 1431, Kingsland, TX 78639 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404039 | Carol Lynne Winter | Massage Therapist | 1020 Altman, Kingsland, TX 78639 | 2018-04-06 |
| 1487865820 | Central Tx Chiropractic & Rehabilitation Clinics, Inc | Chiropractor | 1333 W. Hwy 1431, Kingsland, TX 78639 | 2007-05-25 |
| 1942330360 | Shawn Ray Scott | Chiropractor | 1333 West Hwy 1431, Kingsland, TX 78639 | 2007-03-06 |
| 1811427453 | Kirstyn Hailey Grote | Physical Therapist | 105 Fm 2342, Kingsland, TX 78639 | 2017-06-15 |
| 1053328195 | Adrienne Van Erp Cowan | Occupational Therapist | 105 Fm 2342, Kingsland, TX 78639 | 2006-08-02 |
| 1447232368 | Phpm Mission Care Centers - New Covenant | Skilled Nursing Facility | 3727 W Ranch Road 1431, Kingsland, TX 78639-3244 | 2005-11-16 |
| 1265046809 | Fannin County Hospital Authority | Skilled Nursing Facility | 3727 W Ranch Road 1431, Kingsland, TX 78639-3244 | 2020-09-01 |
| 1629610100 | Concho County Hospital | Skilled Nursing Facility | 3727 W Ranch Road 1431, Kingsland, TX 78639-3244 | 2019-10-16 |
| 1649322819 | Jan Alice Morris | Dentist | 4012 W Ranch Road 1431, Kingsland, TX 78639-3253 | 2007-01-17 |
| 1922451723 | Sara Lindley | Dentist | 4012 W Ranch Road 1431, Kingsland, TX 78639-3253 | 2016-07-15 |
| Find all providers in zip 78639 | ||||
| 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 |
|---|---|---|---|---|
| 1780933374 | Robert Edwin Sawyer | Dentist | 1117 Ranch Rd 1431, Pob 1606, Kingsland, TX 78639-4055 | 2012-08-29 |
| 1154464022 | James Joel Lassiter | Dentist | 1891 Hwy 40 E Ste 1105, Kingsland, GA 31548-6573 | 2007-02-14 |
| 1225114200 | Linda Edna Poloff | Dentist | 400 East King St, Kingsland, GA 31548 | 2006-10-31 |
| 1033132832 | Matthew Parrish Sands | Dentist | 130 N Gross Rd, Ste.122, Kingsland, GA 31548-6262 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| 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.