DR. WILLIAM MICHAEL BOLAK (NPI# 1255412979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255412979 |
Entity Type | Individual |
Full Name | DR. WILLIAM MICHAEL BOLAK |
Credential | D.M.D. |
Practice Address |
5509 Pleasant Valley Dr Suite 700 Plano TX 75023-5248 |
Practice Telephone | 9729643636 |
Practice Fax Number | 9725190127 |
Mailing Telephone | 9729643636 |
Mailing Fax Number | 9725190127 |
Enumeration Date | 2006-10-18 |
Last Update Date | 2007-07-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
17551 | TX | Dental Providers |
Street Address |
5509 PLEASANT VALLEY DR SUITE 700 |
City | PLANO |
State | TX |
Zip Code | 75023-5248 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639133267 | Christina Hope Thibodeaux | Physician Assistant | 5509 Pleasant Valley Dr, Suite 60, Plano, TX 75023-5248 | 2006-04-12 |
1013547587 | Lmg Counseling, Pllc | Community/Behavioral Health | 5509 Pleasant Valley Dr, Plano, TX 75023-5248 | 2020-01-23 |
1275194052 | Micaela Krusemark | Counselor | 5509 Pleasant Valley Dr, Plano, TX 75023-5248 | 2019-06-24 |
1598149981 | Empire Dentistry Pllc | Dentist | 5509 Pleasant Valley Dr, 90a, Plano, TX 75023-5248 | 2015-07-15 |
1942550686 | Plano Dental Imaging, Pllc | Dentist | 5509 Pleasant Valley Dr, Suite 700, Plano, TX 75023 | 2012-09-10 |
1255542098 | Kyle Wayne Mccracken, Dds, Pa | Dentist | 5509 Pleasant Valley Dr, Suite 90, Plano, TX 75023-5248 | 2007-05-24 |
1396967634 | Jenkins Medical Associates | Family Medicine | 5509 Pleasant Valley Dr, Suite 20, Plano, TX 75023-5248 | 2007-05-03 |
1750505038 | John C Redington | Dentist | 5509 Pleasant Valley Dr, Suite 200, Plano, TX 75023-5248 | 2007-04-11 |
1336268861 | Afr Dental | Dentist | 5509 Pleasant Valley Dr, Suite 90b, Plano, TX 75023-5248 | 2007-03-28 |
1407974793 | Floyd James Slater | Dentist | 5509 Pleasant Valley Dr, Suite 90, Plano, TX 75023-5248 | 2007-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245854116 | Vanessa C Eldridge | Registered Nurse | 1008 Lockhart Dr, Plano, TX 75023 | 2020-06-05 |
1750935573 | Asistencia En Casa Therapy Service, Inc. | Nursing Care | 1225 Glyndon Dr., Plano, TX 75023 | 2019-07-30 |
1215420567 | Vera Ngozi Anyirah | Registered Nurse | 3412 Grenoble Court, Plano, TX 75023 | 2018-06-12 |
1043740004 | Varun Joseph | Dentist | 3405 Silverstone Dr Ste 100, Plano, TX 75023 | 2017-06-13 |
1902330384 | Applegate Health Services, Inc | Clinic/Center | 3303 N. Central Expressway, Suite 210, Plano, TX 75023 | 2017-04-12 |
1821529603 | Emerson Speech and Consulting | Speech-Language Pathologist | 6565 Independence Pkwy, Plano, TX 75023 | 2017-03-23 |
1033502018 | Marquis Hines | Occupational Therapy Assistant | 701 Legacy Dr Apt 1224, Plano, TX 75023 | 2015-03-14 |
1811386303 | Gn Medical Center, Inc. | Clinic/Center | 3415 Custer Rd., Ste 100, Plano, TX 75023 | 2015-01-21 |
1568850899 | Parvaneh Yancheshmeh Azimi | Nurse Practitioner | 2045 Hawken Dr, Plano, TX 75023 | 2015-01-09 |
1568866358 | Byungwon Choi | Chiropractor | 2050 W. Spring Creek Pkwy Suite 208, Plano, TX 75023 | 2014-10-22 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447761028 | Shira Ackerman | Dentist | 5501 Independence Pkwy Ste 203, Plano, TX 75023-5470 | 2017-10-23 |
1538684881 | Joy W Field Dds Ms Pa | Dentist | 2845 Parkwood Blvd Ste 300, Plano, TX 75093-4581 | 2017-08-08 |
1356469993 | Plano-dbe, Ltd | Dentist | 5072 W Plano Pkwy Ste 180, Plano, TX 75093-4469 | 2007-03-26 |
1326047887 | Le Yen Thi Oleary | Dentist | 6217 Chapel Hill Blvd, Ste 107, Plano, TX 75093-8477 | 2005-07-18 |
1487202941 | Endodontic Associates of Central Plano, Pllc | Dentist | 5501 Independence Pkwy Ste 203, Plano, TX 75023-5470 | 2019-08-28 |
1588143762 | Wm Bolak Dmd Pllc | Dentist | 5501 Independence Pkwy, Plano, TX 75023-5470 | 2018-08-09 |
1154855823 | Plano Endodontics, PC | Dentist | 5072 W Plano Pkwy Ste 180, Plano, TX 75093-4469 | 2017-04-19 |
1780122556 | Endodontic Associates of Plano, Pllc | Dentist | 5072 W Plano Pkwy, 270, Plano, TX 75093-4476 | 2017-02-01 |
1225371461 | Kimberly Gail Holt | Dentist | 5072 W Plano Pkwy, # 180, Plano, TX 75093-4476 | 2013-04-05 |
1255543146 | Michael A. Peck | Dentist | 5038 Tennyson Pkwy, Suite A, Plano, TX 75024-2954 | 2007-05-04 |
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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.