ROBERTS & GARZA ORTHODONTICS SERVICES PLLC (NPI# 1477022010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477022010 |
| Entity Type | Organization |
| Organization Name | ROBERTS & GARZA ORTHODONTICS SERVICES PLLC |
| Practice Address |
2154 Goodman Rd W Horn Lake MS 38637-1303 |
| Mailing Address |
5717 E Thomas Rd Ste 110 Scottsdale AZ 85251-7620 |
| Practice Telephone | 6623939200 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | BRIDGET SHIELDS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6232829959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225692213 | Roberts & Garza Orthodontics Services Pllc | Dentist | 946 Goodman Rd E, Southaven, MS 38671-8825 | 2019-04-25 |
| 1194294652 | Roberts & Garza Orthodontics Services Pllc | Dentist | 101 N Industrial Rd Ste H, Tupelo, MS 38801-3441 | 2018-11-14 |
| Street Address |
2154 GOODMAN RD W |
| City | HORN LAKE |
| State | MS |
| Zip Code | 38637-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082373 | William P Mcalexander | Dentist | 2154 Goodman Rd W, Horn Lake, MS 38637-1303 | 2005-06-10 |
| 1699338202 | Sydney Collette | Dentist | 2154 Goodman Rd W, Horn Lake, MS 38637-1303 | 2019-04-18 |
| 1962885483 | Kathryn Derivaux Smith | Dentist | 2154 Goodman Rd W, Horn Lake, MS 38637-1303 | 2015-07-01 |
| 1275973067 | Jessica Lucovich | Dentist | 2154 Goodman Rd W, Horn Lake, MS 38637-1303 | 2013-06-26 |
| 1093003972 | Luther Boyd Koon | Pharmacist | 2154 Goodman Rd W, Horn Lake, MS 38637-1303 | 2011-07-13 |
| 1407150204 | Happy Smiles LLC | Dentist | 2154 Goodman Rd W, Horn Lake, MS 38637-1303 | 2011-01-07 |
| 1568625416 | Sarah Frances Crain | Dentist | 2154 Goodman Rd W, Horn Lake, MS 38637-1303 | 2008-07-09 |
| 1962543876 | Jason Allan Leach | Dentist | 2154 Goodman Rd W, Horn Lake, MS 38637-1303 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184098733 | Wal-mart Stores East, Lp | Technician/Technologist | 4150 Goodman Road West, Horn Lake, MS 38637 | 2015-11-19 |
| 1609116581 | Horn Lake Eyecare Pllc | Optometrist | 2085 Goodman Rd, Horn Lake, MS 38637 | 2013-02-28 |
| 1487806121 | Midsouth Medical Specialties LLC | Pharmacy | 1433 Goodman Rd W, Horn Lake, MS 38637 | 2008-10-14 |
| 1356417992 | William E Middleton Jr Dds Pa | Dentist | 3011 Goodman Road W, Horn Lake, MS 38637 | 2006-11-27 |
| 1104297753 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2015-10-08 |
| 1134617178 | Connie Irene Worley | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-25 |
| 1598252710 | Justin Mathis | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-13 |
| 1730686932 | Bradley Thomas Loeffel | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-12 |
| 1437759388 | Sarah Walls | Private Vehicle | 3765 Hilltop Dr, Horn Lake, MS 38637-1030 | 2020-10-29 |
| 1497901417 | William E. Middleton Jr. | Dentist | 3011 Goodman Rd W, Horn Lake, MS 38637-1103 | 2008-08-10 |
| Find all providers in zip 38637 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200673 | Blake Denton Boleware | Dentist | 525 Thomastown Ln Ste A, Ridgeland, MS 39157-3440 | 2020-09-17 |
| 1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
| 1225692213 | Roberts & Garza Orthodontics Services Pllc | Dentist | 946 Goodman Rd E, Southaven, MS 38671-8825 | 2019-04-25 |
| 1194294652 | Roberts & Garza Orthodontics Services Pllc | Dentist | 101 N Industrial Rd Ste H, Tupelo, MS 38801-3441 | 2018-11-14 |
| 1689157588 | Hop Orthodontics | Dentist | 120 S 28th Ave, Hattiesburg, MS 39401-7151 | 2018-09-07 |
| 1508359340 | Legendary Orthodontics, LLC | Dentist | 3225 Audubon Dr, Laurel, MS 39440-1422 | 2018-06-06 |
| 1790274603 | Gregory Goggans, D.m.d., P.C. | Dentist | 6420 Highway 11 N Ste C, Carriere, MS 39426-7146 | 2018-05-07 |
| 1114414802 | Magnolia Orthodontics | Dentist | 4348 Lincoln Road, Hattiesburg, MS 39402 | 2018-04-18 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1275086456 | Jessica Pongett | Dentist | 2408 S Lamar Blvd Ste 2, Oxford, MS 38655-5345 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
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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.