UPTOWN DENTAL SOLUTIONS (NPI# 1639574064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639574064 |
| Entity Type | Organization |
| Organization Name | UPTOWN DENTAL SOLUTIONS |
| Other Organization Name | LAKESIDE DENTAL SOLUTIONS |
| Practice Address |
6617 Heritage Pkwy Ste 120 Rockwall TX 75087-8750 |
| Practice Telephone | 9724120014 |
| Mailing Telephone | 9724120014 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | RASHID BEIRUTE-PRADA (OWNER) |
| Authorized Official Telephone | 9724120014 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
15087 | TX | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
29058 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lakeside Dental Solutions | Doing Business As Name - Organization |
| Street Address |
6617 HERITAGE PKWY STE 120 |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087-8750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1669989240 | Longevity Dental | Clinic/Center | 510 Turtle Cove Blvd Ste 107, Rockwall, TX 75087-5374 | 2018-01-05 |
| 1871002816 | Aurentz Family Dental | Clinic/Center | 3140 Horizon Rd Suite 103, Rockwall, TX 75032 | 2017-09-21 |
| 1104376557 | Stanley D Lowrance PC | Clinic/Center | 1350 Summer Lee Dr, Rockwall, TX 75032-5453 | 2016-10-10 |
| 1629471339 | Clay H. Ainley Dds PC | Clinic/Center | 2927 Ridge Rd Ste 113, Rockwall, TX 75032-6672 | 2014-10-08 |
| 1275017733 | Goliad Dental Pllc | Clinic/Center | 703 S Goliad St, Rockwall, TX 75087-3935 | 2018-09-20 |
| 1326554122 | Nathan A Stewart, Dds, Pllc | Clinic/Center | 109 E Kaufman St, Rockwall, TX 75087-2529 | 2017-12-17 |
| 1407236557 | Benjamin P. Morgan, Dds, Ms, Pllc | Clinic/Center | 990 W Ralph Hall Pkwy Ste 100, Rockwall, TX 75032-6666 | 2015-06-04 |
| 1700161395 | David R. Maxwell, Dds, P.C. | Clinic/Center | 2245 Ridge Rd, Suite 125, Rockwall, TX 75087-5172 | 2011-10-15 |
| 1366654188 | Thomas R Conner Dds Pa | Clinic/Center | 109 E Kaufman St, Rockwall, TX 75087-2529 | 2007-05-04 |
| Find all providers in ROCKWALL | ||||
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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.