WEATHERFORD COSMETIC AND FAMILY DENTISTRY, P.C. (NPI# 1578976064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578976064 |
| Entity Type | Organization |
| Organization Name | WEATHERFORD COSMETIC AND FAMILY DENTISTRY, P.C. |
| Practice Address |
114 W Columbia St Weatherford TX 76086-4312 |
| Practice Telephone | 8175943806 |
| Practice Fax Number | 8175965001 |
| Mailing Telephone | 8175943806 |
| Mailing Fax Number | 8175965001 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | DEBORAH ROMACK (OWNER) |
| Authorized Official Telephone | 8175943806 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DME PTAN | 7167150001 | 01 |
| Street Address |
114 W COLUMBIA ST |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699847145 | Weatherford Cosmetic & Family Dentistry | Dentist | 114 W Columbia St, Weatherford, TX 76086-4312 | 2006-11-13 |
| 1992366116 | Ashley Elaine Decker | Dentist | 114 W Columbia St, Weatherford, TX 76086-4312 | 2019-06-27 |
| 1073058996 | Luke James Riley | Dentist | 114 W Columbia St, Weatherford, TX 76086-4312 | 2017-01-01 |
| 1821344615 | Zachary A Smith | Dentist | 114 W Columbia St, Weatherford, TX 76086-4312 | 2012-07-30 |
| 1790947604 | Deborah A Romack | Dentist | 114 W Columbia St, Weatherford, TX 76086-4312 | 2008-07-01 |
| 1831351741 | James Garrett Mulkey | Dentist | 114 W Columbia St, Weatherford, TX 76086-4312 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826326 | Weatherford Dentistry & Braces | Clinic/Center | 519 E Franklin Ave, Weatherford, OK 73096-5337 | 2020-06-22 |
| 1497124366 | Wright Family Dentistry | Clinic/Center | 1210 Clear Lake Rd, Weatherford, TX 76086-5802 | 2015-09-21 |
| 1396931697 | Villines Dental Care | Clinic/Center | 210 E Franklin Ave, Weatherford, OK 73096-5135 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053587 | David Cheng, Pllc | Clinic/Center | 1708 Spring Green Blvd Ste 195, Katy, TX 77494-7462 | 2020-11-04 |
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1821698788 | All About Smiles Pllc | Clinic/Center | 6420 N Macarthur Blvd Ste 120, Irving, TX 75039-2838 | 2020-10-29 |
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1154920023 | Deja Opusunju Dmd Pllc | Clinic/Center | 25031 Westheimer Pkwy Ste 200, Katy, TX 77494-7317 | 2020-10-22 |
| 1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
| 1962009373 | Woodforest Dental Loft | Clinic/Center | 2300 Woodforest Pkwy N Ste 700, Montgomery, TX 77316-6503 | 2020-10-08 |
| 1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
| 1184230302 | Mi Dentista | Clinic/Center | 3101 W Davis St, Dallas, TX 75211-2921 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
Please comment or provide details below to improve the information on WEATHERFORD COSMETIC AND FAMILY DENTISTRY, P.C..
| 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.