RIVER ROCK DENTAL - LOCKHART PC (NPI# 1265874499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265874499 |
| Entity Type | Organization |
| Organization Name | RIVER ROCK DENTAL - LOCKHART PC |
| Other Organization Name | RIVER ROCK DENTAL - LOCKHART |
| Practice Address |
1906 S. Colorado Suite 110 Lockhart TX 78644 |
| Mailing Address |
4410 E Riverside Dr Suite 150 Austin TX 78741-4799 |
| Practice Telephone | 5128206927 |
| Practice Fax Number | 5123899797 |
| Mailing Telephone | 5123854700 |
| Mailing Fax Number | 5123899797 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | DR. JACKSON BOOTH (OWNER) |
| Authorized Official Telephone | 5127399440 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23496 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| River Rock Dental - Lockhart | Doing Business As Name - Organization |
| Street Address |
1906 S. COLORADO SUITE 110 |
| City | LOCKHART |
| State | TX |
| Zip Code | 78644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966307 | Therese Werner | Social Worker | 896 Robin Ranch Rd., Lockhart, TX 78644 | 2019-11-12 |
| 1235604109 | Wendy H. Ramsey | Speech-Language Pathologist | 1635 Westwood Rd, Lockhart, TX 78644 | 2018-10-08 |
| 1114422664 | Lockhart Dental, Pllc | Dentist | 606 South Colorado St, Lockhart, TX 78644 | 2018-03-27 |
| 1194043976 | David Tong Chung Joe | Pharmacist | 19600 Fm 620 North, Round Rock, TX 78644 | 2010-05-04 |
| 1205163029 | Gail Gardner Livengood Dds, Pa | Dentist | 701 State Park Rd, Lockhart, TX 78644 | 2009-11-16 |
| 1417283086 | Texas Eye Associates | Optometrist | 1320 Colton Lane, Lockhart, TX 78644 | 2009-11-02 |
| 1760623656 | Quality Providers Home Care, Inc. | Home Health | 117 S. Main St., Lockhart, TX 78644 | 2009-03-23 |
| 1316128416 | Butler & Burns Ear Nose & Throat | Otolaryngology | 1005 W Old San Antonio, Lockhart, TX 78644 | 2007-11-16 |
| 1881782365 | Gail G Livengood | Dentist | 701 State Park Road, Lockhart, TX 78644 | 2006-10-10 |
| 1619077096 | Lockhart Family Medicine Pllc | Family Medicine | 1009 W. San Antonio St., Lockhart, TX 78644 | 2006-09-25 |
| Find all providers in zip 78644 | ||||
| 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 |
|---|---|---|---|---|
| 1114422664 | Lockhart Dental, Pllc | Dentist | 606 South Colorado St, Lockhart, TX 78644 | 2018-03-27 |
| 1881782365 | Gail G Livengood | Dentist | 701 State Park Road, Lockhart, TX 78644 | 2006-10-10 |
| 1144233354 | Lew David White | Dentist | 1007 W San Antonio St, Lockhart, TX 78644-2421 | 2006-08-15 |
| 1255687208 | Lockhart Smile Center Pllc | Dentist | 308 S Main St, Lockhart, TX 78644-2752 | 2012-07-27 |
| 1760577613 | Edward A Burton | Dentist | 308 S Main St, Lockhart, TX 78644-2752 | 2006-10-04 |
| 1699880492 | Ai M Perrard | Dentist | 308 S Main St, Lockhart, TX 78644-2752 | 2006-08-20 |
| 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.