PWD DENTISTRY MANAGEMENT LLC (NPI# 1366831372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366831372 |
| Entity Type | Organization |
| Organization Name | PWD DENTISTRY MANAGEMENT LLC |
| Other Organization Name | PINEY WOODS DENTAL |
| Practice Address |
2804 Lake Rd Ste 5 Huntsville TX 77340-5626 |
| Practice Telephone | 9364395227 |
| Mailing Telephone | 7138764560 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | MRS. ANDREA LYNN VIGNOS (OFFICE MANAGER) |
| Authorized Official Telephone | 7138764560 |
| Authorized Official Credential | RDA |
| Is Organization Subpart | Y |
| Parent Organization Name | PWD DENTISTRY MANAGEMENT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
25864 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Piney Woods Dental | Doing Business As Name - Organization |
| Street Address |
2804 LAKE RD STE 5 |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| 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 |
|---|---|---|---|---|
| 1497316095 | Michael Brett Torello | Dentist | 112 Lily Flagg Rd Sw Ste A, Huntsville, AL 35802-3040 | 2019-06-25 |
| 1457910564 | Andrew Henninger | Dentist | 2246 Winchester Rd Ne Ste 106, Huntsville, AL 35811-6801 | 2019-06-12 |
| 1528534179 | Amy D. Thompson, Dmd, PC | Dentist | 111 Park Place Dr Ste F, Huntsville, AL 35806-4252 | 2018-10-22 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1336681063 | Balmoral Dental Center | Dentist | 4000 Balmoral Dr Sw Ste 201, Huntsville, AL 35801-7432 | 2016-11-11 |
| 1760842066 | Qussay Al Jawhar | Dentist | 3011 Highway 30 W Ste 101c, Huntsville, TX 77340-3534 | 2016-02-29 |
| 1659738276 | Clear Creek Dentistry, Pllc | Dentist | 901 Normal Park Dr Ste 202, Huntsville, TX 77320-3770 | 2016-01-27 |
| 1437528262 | Smdr LLC | Dentist | 2313 Starmount Cir Sw, Huntsville, AL 35801-3817 | 2015-09-22 |
| 1689001638 | Stonecreek Acquisitions | Dentist | 7224 Governors West Nw, Huntsville, AL 35806-2051 | 2013-10-07 |
| 1316373830 | Thomas Mcclain Vaughn | Dentist | 2321 Whitesburg Dr Se, Huntsville, AL 35801-3819 | 2013-09-16 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
Please comment or provide details below to improve the information on PWD DENTISTRY MANAGEMENT LLC.
| 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.