FOUR SEASONS DENTAL PA (NPI# 1619072261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619072261 |
| Entity Type | Organization |
| Organization Name | FOUR SEASONS DENTAL PA |
| Other Organization Name | SASKIA C VAUGHAN DDS |
| Practice Address |
510 Se 1st St Mineral Wells TX 76067 |
| Mailing Address |
501 E Hubbard St Mineral Wells TX 76067-5415 |
| Practice Telephone | 9403281131 |
| Mailing Telephone | 9403281131 |
| Mailing Fax Number | 9403281131 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SASKIA CHRISTINA VAUGHAN (DENTIST/PRESIDENT/SECRETARY) |
| Authorized Official Telephone | 9403281131 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 16103 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE (TSBDE) | 16103 | 01 |
| Other Name | Type Code |
|---|---|
| Saskia C Vaughan DDS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194215616 | Four Seasons Dental Pa | Clinic/Center | 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441-1702 | 2018-05-10 |
| Street Address |
510 SE 1ST ST |
| City | MINERAL WELLS |
| State | TX |
| Zip Code | 76067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548350085 | Saskia Christina Vaughan | Dentist | 510 Se 1st St, Mineral Wells, TX 76067-5419 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392810 | Jamie Lee Olsen | Registered Nurse | 2517 Highway 180 E Ste B, Mineral Wells, TX 76067 | 2017-08-18 |
| 1740663475 | Mineral Wells, Pllc | Dentist | 931 N Fm 1821, Suite C, Mineral Wells, TX 76067 | 2015-06-30 |
| 1710367305 | Karin Denise Boggs | Counselor | 4113a Highway 180 East, Suite C, Mineral Wells, TX 76067 | 2015-06-09 |
| 1275786576 | Debby Louise Polozeck | Registered Nurse | 202 Sw 25th Ave Ste 300, Mineral Wells, TX 76067 | 2008-10-30 |
| 1427252469 | Ryan Freemyer Md Pa | Surgery | 214 Southwest 26th Avenue, Suite A, Mineral Wells, TX 76067 | 2007-06-13 |
| 1467664078 | Graford Isd | Local Education Agency (LEA) | 906 S W Fifth Ave, Mineral Wells, TX 76067 | 2007-05-04 |
| 1447462056 | Mineral Wells Isd | Local Education Agency (LEA) | 906 S. W. Fifth Ave, Mineral Wells, TX 76067 | 2007-05-04 |
| 1407070758 | Mineral Wells Women's Pavilion, P.a. | Obstetrics & Gynecology | 220 Sw 26th Avenue, Mineral Wells, TX 76067 | 2007-04-11 |
| 1871643007 | Med Pavilion PC | Pediatrics | 220a Sw 26th Ave, Mineral Wells, TX 76067 | 2007-01-11 |
| 1003990615 | Tim R Tarkenton | Obstetrics & Gynecology | 220 Sw 26th Ave, Mineral Wells, TX 76067 | 2006-10-24 |
| Find all providers in zip 76067 | ||||
| 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 |
|---|---|---|---|---|
| 1295848638 | Spencer Morris Baum | Dentist | 4508 E Hwy 180, Mineral Wells, TX 76067 | 2006-08-17 |
| 1902247679 | Kevinkumar Rameshbhai Bhuva | Dentist | 937 Fm 1821, Ste K, Mineral Wells, TX 76067-9133 | 2013-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1659971653 | Richardson Heights Dental, Pllc | Dentist | 721 W Arapaho Rd Ste 101, Richardson, TX 75080-4155 | 2020-10-28 |
| 1053911396 | Ko Dental Group, PC | Dentist | 302 S. Avenue Q, Clifton, TX 76634 | 2020-10-27 |
| 1972103240 | Kla Dr Pllc | Dentist | 2100 Dallas Pkwy Ste 120, Plano, TX 75093-4394 | 2020-10-27 |
| 1255930798 | Jpm Dental Conroe | Dentist | 2104 N Frazier St Ste 140, Conroe, TX 77301-1250 | 2020-10-24 |
| 1407455173 | Perla Dental of Kaufman Pa | Dentist | 380 E Us Highway 175, Kaufman, TX 75142-3548 | 2020-10-22 |
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1770182701 | Summit Point Dental & Implant Center | Dentist | 3124 West University Drive, Mckinney, TX 75071-7507 | 2020-10-21 |
| 1760081954 | Amlan Pankaj | Dentist | 802 E Amarillo Blvd # 300, Amarillo, TX 79107-5401 | 2020-10-20 |
| 1114525581 | Ashley Roy | Dentist | 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | MINERAL WELLS |
| Zip Code | 76067 |
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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.