PROFESSIONAL DENTAL ALLIANCE OF TX 43003 PLLC (NPI# 1437762531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437762531 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ALLIANCE OF TX 43003 PLLC |
| Practice Address |
200 E Highway 114 Roanoke TX 76262-6907 |
| Mailing Address |
11 S Mill St New Castle PA 16101-3680 |
| Practice Telephone | 8175925055 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | LAUREN HOWARD (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7575765479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
200 E HIGHWAY 114 |
| City | ROANOKE |
| State | TX |
| Zip Code | 76262-6907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025611 | Freeform Chiropractic Trophy Club LLC | Chiropractor | 2240 Sh 114, Suite 650, Trophy Club, TX 76262 | 2020-02-20 |
| 1932748498 | Legacy Physical Therapy and Wellness | Physical Therapist | 351 N Byron Nelson Blvd, Suite 110, Roanoke, TX 76262 | 2020-01-02 |
| 1497399687 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | 2019-10-31 |
| 1710470810 | Maria Guadalupe Madera | Dentist | 5000 Highway 114, Unit 130, Northlake, TX 76262 | 2018-06-13 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1144746561 | Lone Star Neurosurgical Assistants | Physician Assistant | 1270 Casa Bella Ct, Westlake, TX 76262 | 2017-08-17 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1912367228 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 35 Arta Dr, Westlake, TX 76262 | 2016-02-29 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| Find all providers in zip 76262 | ||||
| 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 |
|---|---|---|---|---|
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1134526403 | John Walker Robinson | Dentist | 365 Highland Ave Sw, Roanoke, VA 24016-4325 | 2014-12-02 |
| 1629473277 | Harry Patrick Russell II | Dentist | 4736 Starkey Rd, Suite B, Roanoke, VA 24018-8547 | 2014-10-24 |
| 1487067120 | Priyanka Dutt | Dentist | 5002 Airport Rd Nw # 30, Roanoke, VA 24012-1607 | 2014-06-10 |
| 1396065504 | Rhea Theresa Coronel Antolin | Dentist | 105 Country View Dr Ste 300, Roanoke, TX 76262 | 2010-06-10 |
| 1649593831 | Guy Bernard Merritt | Dentist | 2001 Memorial Ave Sw, Roanoke, VA 24015-2031 | 2010-03-02 |
| 1811221302 | Laila Ochana | Dentist | 85002 Airport Rd, Nw Unit #130, Roanoke, VA 24012 | 2009-09-30 |
| 1427295831 | Affinity Smiles Dental, Pllc | Dentist | 1112 N Highway 377 Ste 106, Roanoke, TX 76262-9125 | 2009-01-07 |
| 1447412812 | Randolph Robert West | Dentist | 295 W. Byron Nelson Blvd., Suite 228, Roanoke, TX 76262-3190 | 2008-06-27 |
| 1003073008 | Sandra Andrew | Dentist | 212 Highland Ave Sw, Roanoke, VA 24016-4416 | 2008-05-19 |
| Find all providers in ROANOKE | ||||
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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.