FAMILY SMILES OF TYLER PC (NPI# 1578906376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578906376 |
| Entity Type | Organization |
| Organization Name | FAMILY SMILES OF TYLER PC |
| Other Organization Name | AVENUE DENTAL |
| Practice Address |
1206 Looney St Brownwood TX 76801-1818 |
| Mailing Address |
8337 Summer Park Dr Fort Worth TX 76123-1991 |
| Practice Telephone | 6172817947 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |
| Authorized Official Name | GUNJAN DHIR (DIRECTOR) |
| Authorized Official Telephone | 6172817947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Avenue Dental | Doing Business As Name - Organization |
| Street Address |
1206 LOONEY ST |
| City | BROWNWOOD |
| State | TX |
| Zip Code | 76801-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811440423 | Mark Jerald Jensen | Dentist | 1206 Looney St, Brownwood, TX 76801-1818 | 2016-07-31 |
| 1457735698 | Brownwood Dental Plls | Dentist | 1206 Looney St, Brownwood, TX 76801-1818 | 2015-07-17 |
| 1275927741 | Ronald Rezai | Dentist | 1206 Looney St, Brownwood, TX 76801-1818 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388374 | Jessica Moreno | Licensed Vocational Nurse | 1401 Indian Creek Dr, Brownwood, TX 76801 | 2018-09-03 |
| 1801314232 | Patrick M. Padgett | Hearing Instrument Specialist | 2510 Crockett Dr. Ste. A, Brownwood, TX 76801 | 2017-09-06 |
| 1376061911 | Alisandra Margaret Dirickson | Physician Assistant | 101 A South Park Drive, Brownwood, TX 76801 | 2017-09-05 |
| 1629441654 | Hennepin Dialysis LLC | Clinic/Center | 2511 Crockett Dr, Brownwood, TX 76801 | 2015-11-13 |
| 1164893889 | Shannon Lynn Young Delacruz | Nurse Practitioner | 302 E Commerce, Brownwood, TX 76801 | 2015-10-08 |
| 1295125821 | David George Curtis | General Practice | 611 Fm 3254, Brownwood, TX 76801 | 2015-02-04 |
| 1619371374 | Sanketkumar Parikh | Pharmacist | 200 West Commerce Street, 377 Villas, Brownwood, TX 76801 | 2014-10-09 |
| 1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
| 1851667521 | Lee Healthcare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 118 B Southpark Dr., Brownwood, TX 76801 | 2012-03-28 |
| 1619261302 | Ginger Rebecca Smith | Counselor | 408 Mulberry, Brownwood, TX 76801 | 2011-05-31 |
| Find all providers in zip 76801 | ||||
| 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 |
|---|---|---|---|---|
| 1720248222 | James A. Crow, Dds | Dentist | 3709 Austin Ave, Brownwood, TX 76801-6626 | 2008-06-10 |
| 1881882199 | Richard Frank Evans | Dentist | 2601 Austin Ave, Brownwood, TX 76801-5832 | 2007-10-11 |
| 1134343411 | Robert Henry Johnson | Dentist | 105 S Park Dr, Brownwood, TX 76801-5917 | 2007-04-11 |
| 1982782983 | James A Crow | Dentist | 3709 Austin Avenue, Brownwood, TX 76801 | 2006-11-01 |
| 1528176542 | Wesley Glen Hutchins | Dentist | 2512 Crockett Dr, Brownwood, TX 76801 | 2006-08-29 |
| 1215466305 | Allison K Rohling | Dentist | 104 S Park Dr, Brownwood, TX 76801 | 2017-06-12 |
| 1457737538 | Casey Haught | Dentist | 3709 Austin Ave, Brownwood, TX 76801-6626 | 2015-07-30 |
| 1275927741 | Ronald Rezai | Dentist | 1206 Looney St, Brownwood, TX 76801-1818 | 2015-03-23 |
| 1235407107 | Sawsan Mohamed Salih | Dentist | 104 S Park Dr, Brownwood, TX 76801-5918 | 2011-12-07 |
| 1619262722 | Adam Michael Coley | Dentist | 3004 Coggin Ave, Brownwood, TX 76801-6005 | 2011-06-16 |
| Find all providers in BROWNWOOD | ||||
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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.