SOUTH TYLER FAMILY DENTISTRY PLLC (NPI# 1548636061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548636061 |
| Entity Type | Organization |
| Organization Name | SOUTH TYLER FAMILY DENTISTRY PLLC |
| Practice Address |
2403 Lacy Ln Carrollton TX 75006-6514 |
| Practice Telephone | 9728693789 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | MARY PU (VP OF FINANCE) |
| Authorized Official Telephone | 9728693789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
2403 LACY LN |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75006-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538457650 | Matthew Brown | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2011-07-11 |
| 1508359761 | Erik Klintmalm | Dentist | 2403 Lacy Ln, Carrollton, TX 75006 | 2018-06-12 |
| 1235673518 | Princeton Dental and Orthodontics Pllc | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2016-12-06 |
| 1730538562 | Republic Dental - Pleasanton Pllc | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2016-06-13 |
| 1508247651 | Tyler Torres | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2015-06-15 |
| 1528400504 | Kelly Mcelmurry | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2013-07-19 |
| 1609214451 | Solomon Gebreyeous | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2013-06-13 |
| 1891132692 | Dana Koren | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2013-06-03 |
| 1457798613 | Cody Brown | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2013-05-29 |
| 1821434226 | Frost Dental-anchorage | Dentist | 2403 Lacy Ln, Carrollton, TX 75006-6514 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
| 1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
| 1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
| Find all providers in zip 75006 | ||||
| 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 |
|---|---|---|---|---|
| 1912516840 | Yuexi Chen | Dentist | 4035 Huffines Blvd, Carrollton, TX 75010-6583 | 2020-07-27 |
| 1538793468 | Kc Dental Group PC | Dentist | 1809 Golden Trail Ct Ste 140, Carrollton, TX 75010-4667 | 2020-02-29 |
| 1649824632 | Yamini Mani Chandana Gollapudi | Dentist | 1233 Sioux St, Carrollton, TX 75010-3314 | 2019-07-28 |
| 1821583113 | Insoo Song | Dentist | 1628 W Hebron Pkwy Ste 108, Carrollton, TX 75010-6311 | 2018-06-28 |
| 1265974638 | Laura Nelson Rabe | Dentist | 2440 N Josey Ln Ste 202, Carrollton, TX 75006-1699 | 2016-11-16 |
| 1801345087 | Luxsmile Pllc | Dentist | 3320 E Hebron Pkwy, Ste 112, Carrollton, TX 75010-4474 | 2016-09-28 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1881007243 | Rishad Merchant | Dentist | 1705 Metrocrest Dr Apt 181, Carrollton, TX 75006-5727 | 2014-06-03 |
| 1952720062 | Smile Dental Care I, Pllc | Dentist | 1834 S. Josey Ln., 100, Carrollton, TX 75006 | 2014-04-16 |
| 1740605138 | Sirethon Rita Kengskool | Dentist | 3012 E Hebron Pkwy Ste 108, Carrollton, TX 75010 | 2014-02-22 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75006 |
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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.