RED SQUARE DENTAL (NPI# 1336616556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336616556 |
| Entity Type | Organization |
| Organization Name | RED SQUARE DENTAL |
| Practice Address |
2702 Cornerstone Blvd Edinburg TX 78539 |
| Mailing Address |
2708 Cornerstone Blvd Edinburg TX 78539 |
| Practice Telephone | 9566865511 |
| Practice Fax Number | 9566869955 |
| Mailing Telephone | 9566865511 |
| Mailing Fax Number | 9566869955 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | MR. VLADISLAV VICTOR LOSHKAREV (DENTIST) |
| Authorized Official Telephone | 9566865511 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2702 CORNERSTONE BLVD |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| 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 |
|---|---|---|---|---|
| 1689177925 | Mc Dental Care of Edinburg, Pllc | Dentist | 8814 E Hwy 107 Ste B, Edinburg, TX 78542-3760 | 2018-03-13 |
| 1477065969 | Mohammed Subhani Pa | Dentist | 1601 W. Trenton, Suite J, Edinburg, TX 78539 | 2017-10-25 |
| 1891106647 | Zoo Dental of Texas, Pllc | Dentist | 1156 W Monte Cristo Rd, Edinburg, TX 78541-4541 | 2014-05-14 |
| 1811311582 | A Plus Smiles | Dentist | 4733 S. Jakckson Rd., Edinburg, TX 78539 | 2014-02-14 |
| 1003238825 | Navarro-prida, Plcc | Dentist | 4733 S. Jackson Rd., Edinburg, TX 78539 | 2014-01-14 |
| 1750718961 | Edinburg Family Dentistry LLC | Dentist | 1326 University Dr., Edinburg, TX 78540 | 2013-10-02 |
| 1245666916 | Zoo Dental of Edinburg Pllc | Dentist | 1122 S Closner Blvd, Edinburg, TX 78539-5662 | 2013-09-25 |
| 1174864201 | Jose A Ochoa Dds | Dentist | 1326 W. University Dr., Edinburg, TX 78539 | 2013-03-14 |
| 1598005399 | Gabster, L.L.C. | Dentist | 13500 E Hwy 107, La Plaza Village Ste #1, Edinburg, TX 78542-1876 | 2013-02-15 |
| 1194089771 | Agua Dentistry, Pllc | Dentist | 307 E University Dr, Edinburg, TX 78539-3549 | 2012-06-28 |
| Find all providers in EDINBURG | ||||
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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.