MODERN DENTAL PROFESSIONALS DALLAS/FT. WORTH PC (NPI# 1730469545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730469545 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS DALLAS/FT. WORTH PC |
| Other Organization Name | MONARCH DENTAL - GRANBURY |
| Practice Address |
3902 E. Us Highway 377 #100 Granbury TX 76049 |
| Mailing Address |
6501 Windcrest Dr #100 Plano TX 75024-3075 |
| Practice Telephone | 6824984400 |
| Mailing Telephone | 9722128119 |
| Mailing Fax Number | 9727674885 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | DR. ROY D SMITH (OWNER) |
| Authorized Official Telephone | 9722128121 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | MODERN DENTAL PROFESSIONALS DALLAS/FT. WORTH PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Monarch Dental - Granbury | Doing Business As Name - Organization |
| Street Address |
3902 E. US HIGHWAY 377 #100 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743802 | Debra Lynn Shearon | Nurse Practitioner | 3605 Pecan Arbor Ct, Granbury, TX 76049 | 2020-03-02 |
| 1841783255 | Adrienne Rhodes Montgomery | Dentist | 2600 James Rd Ste 100, Granbury, TX 76049 | 2018-06-11 |
| 1760920656 | Natalie Marie Alvarez | Occupational Therapist | 802 Rambling Ct, Granbury, TX 76049 | 2017-02-10 |
| 1982048948 | Luke A Chambless | Radiology | 5820 Long Drive, Granbury, TX 76049 | 2013-04-22 |
| 1053682732 | Mollie M Van Deusen | Counselor | 4425 E Hyw 377, Suite 116, Granbury, TX 76049 | 2012-01-26 |
| 1417242926 | H-e-b, Lp | Clinical Medical Laboratory | 3804 East Us Highway 377, Granbury, TX 76049 | 2011-06-13 |
| 1760502199 | Rebecca S. Shank Md Pa | Psychiatry & Neurology | 2003 Rockview Dr., Granbury, TX 76049 | 2007-03-30 |
| 1093843179 | Jason A Berry Dds Pa | Dentist | 2600 James Road, Ste #100, Granbury, TX 76049 | 2007-03-01 |
| 1265576516 | Darren Keith George | Family Medicine | 2003 Rockview Drive, Granbury, TX 76049 | 2007-02-19 |
| 1780740480 | Dale Edmiaston | Counselor | 5606 Hondo Drive, Granbury, TX 76049 | 2006-12-28 |
| Find all providers in zip 76049 | ||||
| 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 |
|---|---|---|---|---|
| 1689281941 | Dan Alineum Dental - Granbury Pllc | Dentist | 1420 E Us Highway 377, Granbury, TX 76048-2646 | 2020-09-30 |
| 1194348086 | Joo Hee Park | Dentist | 1400 E Us Highway 377, Granbury, TX 76048-2646 | 2020-05-26 |
| 1841783255 | Adrienne Rhodes Montgomery | Dentist | 2600 James Rd Ste 100, Granbury, TX 76049 | 2018-06-11 |
| 1568959435 | Luat Huu Nguyen | Dentist | 1151 E Us Highway 377 Ste 101, Granbury, TX 76048-4009 | 2018-04-17 |
| 1942579602 | Lake Granbury Dental & Orthodontics Pllc | Dentist | 1200 Paluxy Medical Cir Ste 101, Granbury, TX 76048-5696 | 2011-12-23 |
| 1821307265 | Dental Health Associates of Texas, PC. | Dentist | 3412 E Highway 377, Granbury, TX 76049-7418 | 2010-10-04 |
| 1215246665 | Heartland Dental Care of Tx, PC | Dentist | 9205 Plantation Blvd Ste 105, Granbury, TX 76049-4109 | 2010-10-04 |
| 1568629723 | Jason Albert Berry | Dentist | 2600 James Rd, Ste. 100, Granbury, TX 76049-2927 | 2008-05-16 |
| 1649471855 | Jonathan Ray Heizer | Dentist | 915 W Pearl St, Granbury, TX 76048-2051 | 2007-05-29 |
| 1124247739 | Julie Tuel | Dentist | 1206 Water's Edge Dr, Granbury, TX 76048 | 2007-04-24 |
| Find all providers in GRANBURY | ||||
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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.