SDS-BILL OWENS PKWY PLLC


Address: 3 Doctor Cir, Longview, TX 75605-5050
Phone: 9037572495

SDS-BILL OWENS PKWY PLLC (NPI# 1609349612) 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) 1609349612
Entity Type Organization
Organization Name SDS-BILL OWENS PKWY PLLC
Practice Address 3 Doctor Cir
Longview
TX 75605-5050
Practice Telephone 9037572495
Practice Fax Number 9037573707
Mailing Telephone 9037572495
Mailing Fax Number 9037573707
Enumeration Date 2019-01-03
Last Update Date 2019-01-03
Authorized Official Name DR. SAMUEL CHRISTOPHER MACK (MANAGER)
Authorized Official Telephone 9032364050
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
SDS-#3 Doctors Circle Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801301643 Sds-bill Owens Pkwy Pllc Dentist 2840 Bill Owens Pkwy Ste B, Longview, TX 75605-2150 2017-12-01

Office Location

Street Address 3 DOCTOR CIR
City LONGVIEW
State TX
Zip Code 75605-5050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316592330 Sara Rose Steffy Dentist 3 Doctor Cir, Longview, TX 75605-5050 2019-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
Find all providers in zip 75605

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
1124681564 Travis L Kendall Dds Pllc Dentist 444 Forest Sq Ste E, Longview, TX 75605-4463 2019-04-22
1699272088 Gur Simran Aurora Dentist 3052 N Eastman Rd Ste 108, Longview, TX 75605-5013 2018-04-11
1801301643 Sds-bill Owens Pkwy Pllc Dentist 2840 Bill Owens Pkwy Ste B, Longview, TX 75605-2150 2017-12-01
1780104836 Timothy John Gengel Dentist 444 Forest Sq Ste 1, Longview, TX 75605-4400 2017-06-20
1154878551 Olivia Joelle Ndoutoume Dentist 2801 Bill Owens Pkwy, Apt 279, Longview, TX 75605-2115 2016-09-02
1659793396 Jared A Franson, Dmd, Ps Dentist 2020 9th Ave Ste A, Longview, WA 98632-4072 2014-01-15
1619300332 Robert Byron Shelton Dentist 905 Walnut Hill Dr Ste 1, Longview, TX 75605-5084 2013-08-16
1790128189 Shiney George Dentist 710 Estes Dr, Longview, TX 75602-6120 2013-04-16
1740560911 Mark D Teigen Dds Ps Dentist 1105 14th Ave, Longview, WA 98632-3016 2011-08-19
1801182803 Scott Christopher Roberts Dentist 444 Forest Sq Ste F, Longview, TX 75605-4400 2011-06-28
Find all providers in LONGVIEW

Competitor

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City LONGVIEW
Zip Code 75605

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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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