ACCESS DENTAL OF ILLINOIS PA (NPI# 1639449358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639449358 |
| Entity Type | Organization |
| Organization Name | ACCESS DENTAL OF ILLINOIS PA |
| Practice Address |
2304 W Illinois Ave Dallas TX 75224 |
| Practice Telephone | 2143377200 |
| Mailing Telephone | 2143377200 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | CAROLYN MAI TRIEU (OWNER) |
| Authorized Official Telephone | 2143377200 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 21449 | TX | Dental Providers |
| Street Address |
2304 W ILLINOIS AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467921346 | Open Arms Healthcare of Texas Inc. | Family Medicine | 2304 W Illinois Ave, Dallas, TX 75224-1638 | 2018-11-20 |
| 1285034728 | Edge-md Illinois, Pllc | Family Medicine | 2304 W Illinois Ave, Dallas, TX 75224-1638 | 2014-09-03 |
| 1740540087 | Access Orthodontics of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224-1638 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
| 1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
| 1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
| 1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
| 1326381880 | Mercy Housecall Physicians Group, LLC | Clinic/Center | 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 | 2013-04-03 |
| 1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
| 1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
| 1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
| 1346527983 | Familia Care Inc. | Pharmacy | 655 W. Illinois Avenue, Building 900, Suite 916/918, Dallas, TX 75224 | 2011-11-10 |
| Find all providers in zip 75224 | ||||
| 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 |
|---|---|---|---|---|
| 1255938296 | Cameron Togrye | Dentist | 5215 Belmont Ave Apt 7308, Dallas, TX 75206-7598 | 2020-10-02 |
| 1376155762 | Thy Hong Nguyen | Dentist | 17721 Dallas Pkwy Ste 106, Dallas, TX 75287-7338 | 2020-08-18 |
| 1043820590 | Ronald Mauricio Velasquez | Dentist | 611 N Bishop Ave Ste 102, Dallas, TX 75208-4361 | 2020-08-08 |
| 1629688767 | Corbin Reed Alhadef | Dentist | 8226 Douglas Ave Ste 753, Dallas, TX 75225-5929 | 2020-08-04 |
| 1942819883 | Gabrielle Kubas | Dentist | 775 Peavy Rd, Dallas, TX 75218-2175 | 2020-07-27 |
| 1134738156 | Erin Medina | Dentist | 7510 E Grand Ave Apt 1304, Dallas, TX 75214-4163 | 2020-07-26 |
| 1841816790 | Faisal Abdul Rehman | Dentist | 14041 Preston Rd Apt 1506e, Dallas, TX 75254-3491 | 2020-06-16 |
| 1790307726 | Seyedeh Delaram Abaei | Dentist | 8610 Greenville Ave Ste 150, Dallas, TX 75243-7159 | 2020-05-13 |
| 1396377594 | Fresca Dental Pllc | Dentist | 10121 Lake June Rd Ste 118, Dallas, TX 75217-5345 | 2020-02-06 |
| 1104456276 | Eduardo Guzman-almaguer | Dentist | 4228 N Central Expy Ste 120, Dallas, TX 75206-6548 | 2020-01-17 |
| Find all providers in DALLAS | ||||
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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.