DR. LARRY LEON PACE (NPI# 1730122144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730122144 |
| Entity Type | Individual |
| Full Name | DR. LARRY LEON PACE |
| Credential | D.D.S., M.S. |
| Practice Address |
4231 Sigma Rd Suite 100 Dallas TX 75244-4423 |
| Practice Telephone | 9722335447 |
| Practice Fax Number | 9727028887 |
| Mailing Telephone | 9722335447 |
| Mailing Fax Number | 9727028887 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
10883 | TX | Dental Providers |
| Street Address |
4231 SIGMA RD SUITE 100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790145829 | Gandhi Implant Dentistry Pllc | Dentist | 4231 Sigma Rd, Suite 100, Dallas, TX 75244-4423 | 2016-03-02 |
| 1164881256 | Julie W. Spaight | Speech-Language Pathologist | 4231 Sigma Rd, #120, Dallas, TX 75244-4423 | 2016-02-17 |
| 1144560400 | Susan Karlene Hummel | Dentist | 4231 Sigma Rd, Suite 100, Dallas, TX 75244-4423 | 2013-02-25 |
| 1992994313 | Krista Kulesza | Psychologist | 4231 Sigma Rd, Suite 120, Dallas, TX 75244-4423 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1841795598 | Andreina Cordido Enriquez | Dentist | 3302 Gaston Ave Rm 169, Dallas, TX 75246-2013 | 2018-03-26 |
| 1972021145 | Catherine G Cagino | Dentist | 5018 Les Chateaux Dr, Dallas, TX 75235-8731 | 2017-09-07 |
| 1104371038 | Brian Christopher Aguirre | Dentist | 5013 Vickery Blvd, Dallas, TX 75206-6222 | 2016-08-21 |
| 1659796696 | Kathia Steel Dds Ms PC | Dentist | 8117 Preston Rd Ste 170, Dallas, TX 75225-6320 | 2014-02-27 |
| 1265717391 | Mamoru Tanaka | Dentist | 6541 Shady Brook Ln Apt 2210, Dallas, TX 75206-9123 | 2011-10-20 |
| 1356576599 | Elite Dental Associates - Dallas, P.C. | Dentist | 2410 Mckinney Ave, Dallas, TX 75201-1937 | 2009-05-18 |
| 1447497102 | Michelle Newby | Dentist | 11661 Preston Rd Ste 104, Dallas, TX 75230-6196 | 2009-01-15 |
| 1083870281 | Dimitrios Elias Kontogiorgos | Dentist | 8650 Southwestern Blvd, Apt#3407, Dallas, TX 75206-2611 | 2008-08-06 |
| 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.