MISSION BEND FAMILY DENTISTRY (NPI# 1740652437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740652437 |
| Entity Type | Organization |
| Organization Name | MISSION BEND FAMILY DENTISTRY |
| Practice Address |
7039 Fm 1464 Rd Suite 130 Richmond TX 77407-2000 |
| Practice Telephone | 8325004940 |
| Practice Fax Number | 8325327392 |
| Mailing Telephone | 8325004940 |
| Mailing Fax Number | 8325327392 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |
| Authorized Official Name | BILLY PUCKETT (OWNER) |
| Authorized Official Telephone | 8325004940 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366002883 | Mission Bend Family Dentistry | Clinic/Center | 7039 Fm 1464 Rd Ste 130, Richmond, TX 77407-2001 | 2019-06-17 |
| 1194374462 | Mission Bend Family Dentistry | Clinic/Center | 7039 Fm 1464 Rd Ste 130, Richmond, TX 77407-2001 | 2019-09-09 |
| Street Address |
7039 FM 1464 RD SUITE 130 |
| City | RICHMOND |
| State | TX |
| Zip Code | 77407-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097752 | Houston Vascular Specialist Corp | Radiologic Technologist | 7103 S Peek Road, Richmond, TX 77407 | 2020-09-15 |
| 1841810660 | Amieda Services LLC | Registered Nurse | 18302 Palisade Rock Court, Richmond, TX 77407 | 2020-04-22 |
| 1396392643 | Tonya Staton | Counselor | 5830 Meadow Ranch Pkwy, Richmond, TX 77407 | 2019-08-21 |
| 1730732728 | Tso Richmond Aliana Pa | Optometrist | 10117 W. Grand Parkway South, Suite 101, Richmond, TX 77407 | 2019-07-19 |
| 1578115275 | H&a Orthodontics | Dentist | 16733 W Airport Blvd, Building A, Suite 2, Richmond, TX 77407 | 2019-07-12 |
| 1285299933 | Divine Providers, Inc. | Technician | 18947 Pine Harvest Ln, Richmond, TX 77407 | 2019-05-08 |
| 1457810566 | Onwueme, Pllc | Clinic/Center | 7324 Grand Mission Blvd, Suite #100, Richmond, TX 77407 | 2019-03-18 |
| 1285115758 | Cz Eye Care, Pllc | Optometrist | 18310 West Airport, Suite 900, Richmond, TX 77407 | 2018-08-23 |
| 1417438821 | Glory Ukadike | Registered Nurse | 7518 Boxwood Ridge Ln, Richmond, TX 77407 | 2018-08-23 |
| 1699254318 | Blvd Dentistry Richmond Pllc | Dentist | 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 | 2018-08-13 |
| Find all providers in zip 77407 | ||||
| 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 |
|---|---|---|---|---|
| 1740801000 | Tamara Lin | Dentist | 5116 Mulligan Ct, Richmond, CA 94806-5898 | 2020-04-28 |
| 1699394916 | Caitlin Suzanne Shannon | Dentist | 2519 E Main St Ste 102, Richmond, IN 47374-5869 | 2020-04-16 |
| 1982247953 | Benjamin Crowley, Dds PC | Dentist | 6808 Stoneman Rd, Richmond, VA 23228-2744 | 2019-10-23 |
| 1326695339 | New Era Healthcare Inc. | Dentist | 6300 Oak Middle Ct Apt 104, Richmond, VA 23231-4872 | 2019-08-23 |
| 1770145617 | Morgan Worley | Dentist | 4818 Waterview Town Center Dr Ste 100, Richmond, TX 77407-2384 | 2019-07-01 |
| 1083188908 | Richmond Pediatric Dentistry and Orthodontics | Dentist | 8503 Patterson Ave Ste G, Richmond, VA 23229-6442 | 2019-01-14 |
| 1699254318 | Blvd Dentistry Richmond Pllc | Dentist | 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 | 2018-08-13 |
| 1083190011 | Kayla Marie Roe | Dentist | 6605 W Broad St Ste 105, Richmond, VA 23230-1714 | 2018-07-12 |
| 1376037341 | Adrienne Lashae Childress | Dentist | 4095 Atwood Dr Ste A, Richmond, KY 40475-8325 | 2018-06-21 |
| 1023509908 | Richmond City Dentistry | Dentist | 1517 W Broad St, Richmond, VA 23220-3016 | 2018-05-25 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on MISSION BEND FAMILY DENTISTRY.
| 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.