TEXAS ORTHODONTIC SPECIALIST (NPI# 1609153188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609153188 |
| Entity Type | Organization |
| Organization Name | TEXAS ORTHODONTIC SPECIALIST |
| Practice Address |
8608 Preston Rd Ste 112 Plano TX 75024-3317 |
| Mailing Address |
215 S Fm 548 Ste A Forney TX 75126-4130 |
| Practice Telephone | 9722157645 |
| Mailing Telephone | 9722157645 |
| Mailing Fax Number | 8883026633 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Authorized Official Name | BENJAMIN R WALDER (ORTHODONTIST/PRESIDENT) |
| Authorized Official Telephone | 9722157645 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
8608 PRESTON RD STE 112 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982720819 | Jennifer Ashley Duncan | Dental Hygienist | 8608 Preston Rd Ste 112, Plano, TX 75024-3317 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689109977 | Scott Law Ortho Corp, PC | Dentist | 840 Central Pkwy E Ste 100, Plano, TX 75074-5569 | 2017-04-25 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1003242660 | Willow Bend Orthodontics, Pllc | Dentist | 5400 W Plano Pkwy Ste 250, Plano, TX 75093-4854 | 2013-09-16 |
| 1538390091 | David Charles Becka | Dentist | 609 W 15th St Ste 130, Plano, TX 75075-8862 | 2009-07-31 |
| 1780843383 | Sarah Cathryn Pollan | Dentist | 5800 Coit Rd Ste 500, Plano, TX 75023-5946 | 2008-06-09 |
| 1871715144 | George Quinlan Adams | Dentist | 2845 Parkwood Blvd. #100, Plano, TX 75093 | 2007-05-03 |
| 1114045267 | Packard Orthodontics Pa | Dentist | 840 Central Pkwy E, Suite 100, Plano, TX 75074-5551 | 2007-03-27 |
| 1770616880 | Xiaohong Chu | Dentist | 4105 W Spring Creek Pkwy Ste 506, Plano, TX 75024-5302 | 2007-03-14 |
| 1811035181 | Patrick Chen | Dentist | 4865 Hedgcoxe Rd, Suite # 200, Plano, TX 75024-2406 | 2007-02-01 |
| 1790861888 | Gerald Kyle Crain | Dentist | 6837 Coit Rd, Plano, TX 75024-5417 | 2006-10-31 |
| Find all providers in PLANO | ||||
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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.