SIXTO GARDUNO COGOLLOR (NPI# 1245699974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245699974 |
| Entity Type | Individual |
| Full Name | SIXTO GARDUNO COGOLLOR |
| Credential | DMD |
| Practice Address |
712 N Hampton Rd Ste 130 Desoto TX 75115-4530 |
| Practice Telephone | 9722235500 |
| Mailing Telephone | 9722235500 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2020-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35594 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS040878 | PA | Dental Providers |
| Street Address |
712 N HAMPTON RD STE 130 |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306477542 | Sgc Dental LLC | Dentist | 712 N Hampton Rd Ste 130, Desoto, TX 75115-4530 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| 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 |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1053926584 | Garrett Howze | Dentist | 509 N Hampton Rd Ste 101, Desoto, TX 75115-4970 | 2020-09-11 |
| 1548879935 | Steven Nguyen | Dentist | 834 N Hampton Rd Ste 102, Desoto, TX 75115-4504 | 2020-07-30 |
| 1932662756 | Legacy Dental of Desoto Pllc | Dentist | 834 N Hampton Rd # 102, Desoto, TX 75115-4512 | 2019-04-09 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1902281694 | Caitlyn Jane Poupart | Dentist | 1001 N Interstate 35 E, Ste. 420c, Desoto, TX 75115-4261 | 2015-07-23 |
| 1104102110 | Art of Dentistry | Dentist | 303 E Pleasant Run Rd, Desoto, TX 75115-3933 | 2011-10-24 |
| 1578727228 | Linda Nkechi Oniah | Dentist | 412 E Pleasant Run Rd, Desoto, TX 75115-3936 | 2008-07-11 |
| 1689878928 | John Michael Roberson | Dentist | 2801 Duke of Gloucester St Ste 103, Desoto, TX 75115-2051 | 2007-06-12 |
| 1528276870 | Mia Danielle' Roberts-lagrange | Dentist | 732 Heather Knoll Dr, Desoto, TX 75115-4612 | 2007-05-18 |
| Find all providers in DESOTO | ||||
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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.