ACCESS DENTAL OF PARK LAKE PA (NPI# 1275997082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275997082 |
| Entity Type | Organization |
| Organization Name | ACCESS DENTAL OF PARK LAKE PA |
| Practice Address |
1925 Park Lake Dr Waco TX 76708-1682 |
| Mailing Address |
1200 W Walnut Hill Ln Suite 3950 Irving TX 75038-3029 |
| Practice Telephone | 9725141689 |
| Mailing Telephone | 9725141689 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | TIEN DINH PHAN (DENTIST) |
| Authorized Official Telephone | 9725141689 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22334 | TX | Dental Providers |
| Street Address |
1925 PARK LAKE DR |
| City | WACO |
| State | TX |
| Zip Code | 76708-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225506777 | Nabeel Ishrat Khan | Dentist | 1925 Park Lake Dr, Waco, TX 76708-1682 | 2018-11-02 |
| 1316412554 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 1925 Park Lake Dr, Waco, TX 76708-1682 | 2018-10-03 |
| 1356870513 | Mustafa Iqbal | Dentist | 1925 Park Lake Dr, Waco, TX 76708-1682 | 2017-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102004 | Sabrina Louise Chavez | Dentist | 1115 N Valley Mills Dr # B, Waco, TX 76710-4425 | 2020-07-23 |
| 1912542234 | Dentists of Waco, PC | Dentist | 1115b N Valley Mills Dr, Waco, TX 76710-4425 | 2019-11-11 |
| 1770039406 | Theresa Lassetter | Dentist | 206 Meadow Mountain Drive, Waco, TX 76712 | 2016-09-01 |
| 1093178733 | Access Dental of Valley Mills Pa | Dentist | 311401 S Valley Mills Drive, Waco, TX 76711 | 2016-03-31 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1538570783 | Danielle Geshay | Dentist | 8304 Old Mcgregor Rd Ste A, Waco, TX 76712-3600 | 2014-05-09 |
| 1326463555 | Stonehaven Dental Pllc | Dentist | 824 Hewitt Dr # 300, Waco, TX 76712-6656 | 2014-02-25 |
| 1407284128 | Sangeeta Sanjaykumar Gantayat | Dentist | 4215 Franklin Ave Ste 300, Waco, TX 76710-6903 | 2013-10-15 |
| 1770846222 | Charles F Town | Dentist | 824 Hewitt Dr Ste 300, Waco, TX 76712-6604 | 2012-06-20 |
| 1194001388 | Se Smile By Design | Dentist | 901 Ashleman St, Waco, TX 76705-2900 | 2011-11-01 |
| Find all providers in WACO | ||||
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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.