COMMUNITY DENTAL OUTREACH, PLLC (NPI# 1447690276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447690276 |
Entity Type | Organization |
Organization Name | COMMUNITY DENTAL OUTREACH, PLLC |
Other Organization Name | IMAGINE DENTAL OF SOUTH LAREDO |
Practice Address |
3507 Jaime Zapata Memorial Hwy Ste 3 Laredo TX 78043-4769 |
Practice Telephone | 9728327825 |
Mailing Telephone | 9728327825 |
Enumeration Date | 2013-06-25 |
Last Update Date | 2013-06-25 |
Authorized Official Name | BRADLEY RICHENS (OWNER) |
Authorized Official Telephone | 9728327825 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | Dental Providers |
Other Name | Type Code |
---|---|
Imagine Dental of South Laredo | Doing Business As Name - Organization |
Street Address |
3507 JAIME ZAPATA MEMORIAL HWY STE 3 |
City | LAREDO |
State | TX |
Zip Code | 78043-4769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
1821466178 | Stat Emergency Center LLC | Clinic/Center | 1023 Bob Bullock Loop, Laredo, TX 78043 | 2015-09-03 |
1033546601 | Dm Casemanagement Services | Social Worker | 1115 Chihuahua, Suite C, Laredo, TX 78043 | 2013-09-27 |
1902239122 | Joann Shin Dds Corporation | Dentist | 2420 Bob Bullock Loop, Laredo, TX 78043 | 2013-08-12 |
1851630123 | Mirta Guajardo | Occupational Therapy Assistant | 3210 Loop 20 Ste. 5, Laredo, TX 78043 | 2013-02-06 |
1073862744 | Miriam Elisabeth Pelto | Occupational Therapist | 3507 Jaime Zapata Memorial Highway, Ste. 10-b, Laredo, TX 78043 | 2012-09-10 |
1447542386 | M & R Management LLC | Respite Care | 2801 E. Montgomery, Suite 205, Laredo, TX 78043 | 2011-05-11 |
1275831125 | Diana Y Sanchez | Speech-Language Pathologist | 3210 Bob Bullock Loop, Bldg A Ste 4, Laredo, TX 78043 | 2011-03-02 |
1649591546 | Palomitas 'r' Us Inc. | Homemaker | 7220 A Bob Bullock Loop Suite 302, Laredo, TX 78043 | 2010-06-15 |
1104092121 | Juan E. Perez | Occupational Therapy Assistant | 3507 Jaime Zapata Memorial Hwy Ste 1and2, Laredo, TX 78043 | 2008-04-30 |
Find all providers in zip 78043 |
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 |
---|---|---|---|---|
1215407143 | San Dario Dental and Orthodontics Pllc | Dentist | 7305 San Dario Ave Ste 5, Laredo, TX 78045-7295 | 2018-12-04 |
1356834410 | Tulio Alejandro Alvarado | Dentist | 6801 Mcpherson Rd Ste 225, Laredo, TX 78041-6403 | 2018-06-12 |
1801384623 | Laredo Lhpd | Dentist | 5220 Mcpherson Rd Ste 101, Laredo, TX 78041-7323 | 2018-04-26 |
1306345269 | Benjamin Garai | Dentist | 1400 Guadalupe St Ste A, Laredo, TX 78040-5316 | 2018-02-06 |
1396179065 | Planet Oral Healthcare Zapata | Dentist | 2522 S Zapata Hwy, Laredo, TX 78046-6825 | 2013-08-29 |
1902239122 | Joann Shin Dds Corporation | Dentist | 2420 Bob Bullock Loop, Laredo, TX 78043 | 2013-08-12 |
1154619088 | Sergio Enrique Lopez | Dentist | 302 Bob Bullock Loop, Apt. 8101, Laredo, TX 78043-4265 | 2011-07-12 |
1174850978 | Kmp Billing Services LLC | Dentist | 605 Hidalgo St, Laredo, TX 78040-6042 | 2009-11-16 |
1447493903 | Silvia G Vargas | Dentist | 10124 Galisteo Dr, Laredo, TX 78045-6387 | 2009-04-14 |
1952543381 | Matthew Adam Staat | Dentist | 1400 Guadalupe St, Ste A, Laredo, TX 78040-5315 | 2009-03-31 |
Find all providers in LAREDO |
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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.