WOODBRIDGE DENTAL GROUP AND ORTHODONTICS, PC (NPI# 1386975217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386975217 |
| Entity Type | Organization |
| Organization Name | WOODBRIDGE DENTAL GROUP AND ORTHODONTICS, PC |
| Other Organization Name | WOODBRIDGE DENTAL GROUP AND ORTHODONTICS |
| Practice Address |
3360 F.m. 544 Suite 930 Wylie TX 75098 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 9729150484 |
| Practice Fax Number | 9726925982 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | DR. JENNIFER C PARKER (OWNER DOCTOR) |
| Authorized Official Telephone | 9729150484 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Woodbridge Dental Group and Orthodontics | Doing Business As Name - Organization |
| Street Address |
3360 F.M. 544 SUITE 930 |
| City | WYLIE |
| State | TX |
| Zip Code | 75098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851926182 | Ashley Michelle Akers | Counselor | 303 Tx-78, #100, Wylie, TX 75098 | 2020-03-06 |
| 1033742762 | Neuro Care LLC | Psychiatry & Neurology | 801 S Tx- 78, Wylie, TX 75098 | 2020-02-21 |
| 1720623515 | Dentalhub of Wylie | Clinic/Center | 3483 W.fm 544, Unit- 112, Wylie, TX 75098 | 2019-11-15 |
| 1780144147 | Rxcare Pharmacy, LLC | Pharmacy | 209 N Ballard Ave, Wylie, TX 75098 | 2019-03-21 |
| 1659830081 | Bv Dental, Pllc | Clinic/Center | 330 S. State Highway 78, Suite 200, Wylie, TX 75098 | 2019-03-15 |
| 1407329352 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8516 Parker Rd E., Wylie, TX 75098 | 2019-01-03 |
| 1396215620 | Lilian Abagwe | Nurse Practitioner | 1108 Ann Dr, Wylie, Wylie, TX 75098 | 2018-11-29 |
| 1114408507 | Stephen Clayton Heath | Occupational Therapy Assistant | 721 Tx-78, Wylie, TX 75098 | 2018-08-24 |
| 1831677400 | Melody Lea Stoker | Physical Therapy Assistant | 3400 Mcmillen Rd Apt 1028, Wylie, TX 75098 | 2018-08-05 |
| 1619465234 | Olufemi Fadahunsi, Dds, PC | Dentist | 2810 W. Fm544, Suite 100, Wylie, TX 75098 | 2018-04-30 |
| Find all providers in zip 75098 | ||||
| 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 |
|---|---|---|---|---|
| 1316595168 | Dr. Moiz Mohammed Abdul Pllc | Dentist | 2014 N Highway 78 Ste 150, Wylie, TX 75098-6091 | 2019-08-26 |
| 1952962029 | Christina Leon | Dentist | 805 Woodbridge Pkwy Ste 400, Wylie, TX 75098-7082 | 2019-06-27 |
| 1619465234 | Olufemi Fadahunsi, Dds, PC | Dentist | 2810 W. Fm544, Suite 100, Wylie, TX 75098 | 2018-04-30 |
| 1891224010 | Joseph Brier | Dentist | 611 W Brown St Ste 100, Wylie, TX 75098-5816 | 2017-06-09 |
| 1891164273 | Wylie Smiles Pllc | Dentist | 2014 N. Highway 78, 150, Wylie, TX 75098 | 2015-09-16 |
| 1326489832 | Ideal Dental of Wylie, Pllc | Dentist | 805 Woodbridge Pkwy #400, Wylie, TX 75098 | 2013-07-12 |
| 1457612103 | Sarah Fathi Elrabaa | Dentist | 2041 N State Hwy 78, Ste 105, Wylie, TX 75098 | 2012-05-30 |
| 1154591808 | Berry Family Dentistry Wylie | Dentist | 901 W. Fm 544, Ste. 100, Wylie, TX 75098 | 2008-03-10 |
| 1912119264 | Vinay Kumar | Dentist | 2014 N Highway 78, Wylie, TX 75098-6043 | 2007-05-07 |
| 1144342015 | Dean H. Myint | Dentist | 122 North Ballard Ave., Wylie, TX 75098 | 2007-04-04 |
| Find all providers in WYLIE | ||||
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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.