ACE DENTAL03 PC (NPI# 1720443161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720443161 |
| Entity Type | Organization |
| Organization Name | ACE DENTAL03 PC |
| Practice Address |
100 Carlos G. Parker Blvd 110 Taylor TX 76574 |
| Practice Telephone | 2019250210 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Authorized Official Name | ADITI GUPTA (OWNER/PROVIDER) |
| Authorized Official Telephone | 2019250210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
29291 | TX | Dental Providers |
| Street Address |
100 CARLOS G. PARKER BLVD 110 |
| City | TAYLOR |
| State | TX |
| Zip Code | 76574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388242 | Marisa Rickerson | Speech-Language Pathologist | Spjst, 1810 Old Granger Rd, Tayloe, TX 76574 | 2018-09-04 |
| 1841786134 | Deanna Cole | Registered Nurse | 2503 Donna Drive, Taylor, TX 76574 | 2018-07-10 |
| 1417313750 | Jesse James Maldonado | Pharmacist | 100 Carlos G Parker Blvd, Taylor, TX 76574 | 2015-12-31 |
| 1770812653 | Jina Morris | Pharmacist | 1610 N. Main St., Taylor, TX 76574 | 2009-12-23 |
| 1306066618 | Dental Professionals of Taylor, P.l.l.c. | Clinic/Center | 1611 Old Granger Road, Suite A, Taylor, TX 76574 | 2007-04-27 |
| 1134258197 | Vernon Robert Bender | Dentist | 1611 Old Granger Rd, Taylor, TX 76574 | 2007-03-05 |
| 1528100898 | Taylor Care Center | Nursing Facility/Intermediate Care Facility | 212 East Lake Dr., Taylor, TX 76574 | 2007-02-13 |
| 1376613679 | Paul Anthony Burow | Chiropractor | 612 North Main Street, Taylor, TX 76574 | 2006-11-08 |
| 1306948765 | Ronald P Werner | Dentist | 501 Mallard Lane, Taylor, TX 76574 | 2006-09-05 |
| 1710096151 | H-e-b, Lp | Clinical Medical Laboratory | 100 Carlos G Parker Blvd Nw Ste 101, Taylor, TX 76574 | 2006-08-30 |
| Find all providers in zip 76574 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588136667 | D2 Dental of Michigan, P.C. | Dentist | 9115 Telegraph Rd, Taylor, MI 48180-2365 | 2018-12-29 |
| 1376820308 | Ted & Associate, PC | Dentist | 3705 N Main St # 200, Taylor, TX 76574-4981 | 2011-11-04 |
| 1821202649 | Mark Levin | Dentist | 8985 Telegraph Rd, Taylor, MI 48180-2366 | 2007-05-10 |
| 1710002712 | Steven Michael Polisuk | Dentist | 24459 Goddard Rd, Taylor, MI 48180-3933 | 2007-03-20 |
| 1528190204 | Jerry A Aronoff | Dentist | 22350 Wick Rd, Taylor, MI 48180-3607 | 2007-03-09 |
| 1497803522 | Arthur Sheldon Rocklin | Dentist | 21925 Van Born Rd, Taylor, MI 48180-1335 | 2007-01-08 |
| 1972683811 | Diane Mary Mclellan | Dentist | 20211 Ecorse Road, Taylor, MI 48180 | 2006-10-16 |
| 1861584054 | James C. Stewart | Dentist | 25721 Goddard Rd, Taylor, MI 48180-3974 | 2006-09-28 |
| 1508967829 | David Joel Berris | Dentist | 9310 Telegraph Rd, Taylor, MI 48180-3362 | 2006-09-26 |
| 1548283781 | Randy Thomas Fishman | Dentist | 23645 Goddard Rd, Taylor, MI 48180-4046 | 2006-07-26 |
| Find all providers in TAYLOR | ||||
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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.