HOLLY ARDOIN (NPI# 1558856328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558856328 |
| Entity Type | Individual |
| Full Name | HOLLY ARDOIN |
| Credential | DDS |
| Practice Address |
4741 Buffalo Gap Rd Abilene TX 79606-3304 |
| Mailing Address |
4510 Crosley Ln Abilene TX 79606-4931 |
| Practice Telephone | 3254375284 |
| Mailing Telephone | 8062236553 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
34094 | TX | Dental Providers |
| Street Address |
4741 BUFFALO GAP RD |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881675767 | Cheryl Corpuz Johnson | Dentist | 4741 Buffalo Gap Rd, Abilene, TX 79606-3375 | 2005-11-08 |
| 1669024063 | Jordan Wade Ardoin | Dentist | 4741 Buffalo Gap Rd, Abilene, TX 79606-3304 | 2019-07-15 |
| 1952740409 | Paul Ray Lambert IIi | Dentist | 4741 Buffalo Gap Rd, Abilene, TX 79606-3304 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740409 | Paul Ray Lambert IIi | Dentist | 4741 Buffalo Gap Rd, Abilene, TX 79606-3304 | 2013-06-18 |
| 1215193578 | Norman P Poorman | Dentist | 2501 S Willis St, Ste C, Abilene, TX 79605-6287 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| 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.