HIGHWAY 351 PC


Address: 4901 E 42nd St, Odessa, TX 79762-7241
Phone: 7709169000

HIGHWAY 351 PC (NPI# 1558618538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558618538
Entity Type Organization
Organization Name HIGHWAY 351 PC
Other Organization Name RESOLUTION DENTAL
Practice Address 4901 E 42nd St
Odessa
TX 79762-7241
Mailing Address 1090 Northchase Pkwy Se Ste 150
Marietta
GA 30067-6407
Practice Telephone 7709169000
Enumeration Date 2012-08-09
Last Update Date 2015-01-29
Authorized Official Name DALE G MAYFIELD (PRESIDENT)
Authorized Official Telephone 7709165028
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223E0200X Dentist
Specialization: Endodontics
Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Resolution Dental Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366794760 Highway 351 PC Dentist 3864 Hwy 64 W, Tyler, TX 75704-6924 2012-10-09
1558646026 Highway 351 PC Dentist 2200 S W S Young Dr, Killeen, TX 76543-5318 2011-10-17
1396028031 Highway 351 PC Dentist 3150 S 31st St, Temple, TX 76502-1803 2011-09-20
1164700969 Highway 351 PC Dentist 5707 4th St, Suite 1, Lubbock, TX 79416-4243 2011-07-27
1962754317 Highway 351 PC Dentist 1784 State Highway 351, Abilene, TX 79601-4748 2012-10-10

Office Location

Street Address 4901 E 42ND ST
City ODESSA
State TX
Zip Code 79762-7241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275824880 Chrissorne Rameau Dentist 4901 E 42nd St, Odessa, TX 79762-7241 2011-04-29
1699058321 North Mesa Dental, PC Dentist 4901 E 42nd St, Odessa, TX 79762-7241 2011-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982256798 Winwood Dental and Orthodontics Pllc Dentist 3913 E 42nd Street, Odessa, TX 79762 2019-07-11
1265995716 Ryan Daniels Specialist/Technologist 4901 E University, Gym 111, Odessa, TX 79762 2019-04-11
1215429592 Michael Wayne Samp Respiratory Therapist, Registered 2807 Windsor Dr, Odessa, TX 79762 2018-06-03
1972003663 Kristi Young Registered Nurse 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 2018-02-19
1427508902 Whitney Diakur Optometrist 5011 E. 42nd St, Odessa, TX 79762 2016-10-10
1295184927 Farqad Kamal Abuoudeh Dentist 6109 Tx-191 Frontage, Odessa, TX 79762 2016-06-03
1457714180 Daniel & Max, LLC Optometrist 5011 E. 42nd Street, Odessa, TX 79762 2016-03-31
1407225774 Neri Campos-gardea Massage Therapist 3952 E 42d, Odessa, TX 79762 2015-09-17
1508255886 Permian Er IIi Clinic/Center 6131 East Highway 191, Odessa, TX 79762 2015-01-09
1548675861 Tina Desai Dentist 6109 Texas 191, Odessa, TX 79762 2014-06-25
Find all providers in zip 79762

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427619238 Benjamin Bennett Waites Dentist 4901 E 42nd St Ste B, Odessa, TX 79762-7338 2019-06-23
1619443736 Abbeville Dentistry - Odessa East, Pllc Dentist 2499 E 11th St, Odessa, TX 79761-4232 2018-10-16
1124535885 Anisha Patel Dentist 6909 Arabian Rd, Odessa, FL 33556-1825 2018-01-03
1346759487 Andes Dental Pllc Dentist 1157 E 42nd St Ste A, Odessa, TX 79762-7723 2017-09-20
1629592217 Quyen Tran Dentist 2260 Linda Ave Ste 103, Odessa, TX 79763-2665 2017-07-26
1861920886 Constance Schreck Dentist 2631 Faudree Rd Ste B, Odessa, TX 79765-8530 2017-06-03
1295184927 Farqad Kamal Abuoudeh Dentist 6109 Tx-191 Frontage, Odessa, TX 79762 2016-06-03
1285011882 Precious Smiles Dentistry, PC Dentist 2713 N Grandview Ave, Odessa, TX 79762-6952 2015-05-04
1821494121 Robert Meek Dentist 7331 Eastridge Rd, Odessa, TX 79765-8903 2014-11-13
1548675861 Tina Desai Dentist 6109 Texas 191, Odessa, TX 79762 2014-06-25
Find all providers in ODESSA

Competitor

Search similar providers

City ODESSA
Zip Code 79762

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Dataset Information

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.

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