SHANE REX TOLLESON (NPI# 1679709968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679709968 |
| Entity Type | Individual |
| Full Name | SHANE REX TOLLESON |
| Credential | DDS |
| Practice Address |
1719 S Loop 288 Ste 110 Denton TX 76205-4810 |
| Practice Telephone | 9407351102 |
| Mailing Telephone | 9407351102 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
23430 | TX | Dental Providers |
| Street Address |
1719 S LOOP 288 STE 110 |
| City | DENTON |
| State | TX |
| Zip Code | 76205-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467670018 | Christopher Swayden | Dentist | 1719 S Loop 288 Ste 110, Denton, TX 76205-4810 | 2007-04-20 |
| 1942491741 | Dental Central | Dentist | 1719 S Loop 288 Ste 110, Denton, TX 76205-4810 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170401 | Jolyn K Pritchett | Counselor | 109 S Woodrow Lane, Suite 300, Denton, TX 76205 | 2020-10-05 |
| 1922629849 | Haven Niland | Behavioral Analyst | 409 N I 35 E, Denton, TX 76205 | 2020-05-01 |
| 1245732783 | Sundar Embar Rangarajan | Dentist | 1300 S Loop 288 Unit 100, Denton, TX 76205 | 2018-03-01 |
| 1568918423 | Lisa Hernandez | Chiropractor | 2436 S I 35 E Ste 336, Denton, TX 76205 | 2016-08-31 |
| 1659744662 | Er24 Denton, LLC | Clinic/Center | 2426 Lillian Miller Pkwy, Denton, TX 76205 | 2015-11-12 |
| 1265816458 | Vigorcare Partners of Texas | Home Health | 1517 Centre Place Drive, Suite 350, Denton, TX 76205 | 2015-07-17 |
| 1831508738 | Denton Modern Dentistry and Orthodontics PC | Dentist | 1300 S. Loop 288, Suite 100, Denton, TX 76205 | 2014-08-05 |
| 1538575436 | Keri Strong | Specialist | 2319 San Jacinto Blvd, Denton, TX 76205 | 2014-07-11 |
| 1518206556 | Bonnie Dianna Alagood | Counselor | 1710 Westminister St., Denton, TX 76205 | 2013-02-12 |
| 1790022960 | Miriam A Koech | Behavioral Analyst | 490 N I 35 E, Denton, TX 76205 | 2013-01-08 |
| Find all providers in zip 76205 | ||||
| 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 |
|---|---|---|---|---|
| 1194361519 | Mary C. Trahar, Dds, Pa | Dentist | 52 Denton Plz, Denton, MD 21629-9501 | 2019-11-20 |
| 1477843027 | Nima Rohani | Dentist | 5017 Teasley Lane, #165, Denton, TX 76210 | 2011-04-17 |
| 1932228103 | Bowen Miles | Dentist | 2430 Lillian Miller Pkwy, Denton, TX 76205-2909 | 2007-03-28 |
| 1598871311 | Karl Sweetman | Dentist | 515 Londonderry Ln, Denton, TX 76205-5337 | 2006-08-22 |
| 1144876426 | Timothy Depalma Dds Pllc | Dentist | 1314 N Locust St, Denton, TX 76201-3038 | 2019-08-13 |
| 1215414917 | Robert Laraway | Dentist | 601 N 6th St, Denton, MD 21629-3356 | 2018-07-25 |
| 1235623984 | Chris L. Cramer, Dds Pllc | Dentist | 1308 Crescent St, Denton, TX 76201-2702 | 2018-06-17 |
| 1487143947 | Terry Leon Lowry | Dentist | 2430 Lillian Miller Pkwy, Denton, TX 76205-2909 | 2018-05-09 |
| 1184844839 | William Covington Buchanan Jr. | Dentist | 515 Londonderry Ln, Denton, TX 76205-5337 | 2007-04-26 |
| 1699832675 | Jerry Mills | Dentist | 2201 S Interstate 35 E, Room L21c, Denton, TX 76205-8192 | 2007-01-02 |
| Find all providers in DENTON | ||||
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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.