SOUTHRIDGE DENTAL, LLC (NPI# 1740709344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740709344 |
| Entity Type | Organization |
| Organization Name | SOUTHRIDGE DENTAL, LLC |
| Practice Address |
3303 Unicorn Lake Blvd Ste 200 Denton TX 76210 |
| Practice Telephone | 9405664942 |
| Practice Fax Number | 9403810815 |
| Mailing Telephone | 9405664942 |
| Mailing Fax Number | 9403810815 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Authorized Official Name | DR. TYRONE DUNSON II (OWNER/DENTIST) |
| Authorized Official Telephone | 9405664942 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 18977 | TX | Dental Providers |
| Street Address |
3303 UNICORN LAKE BLVD STE 200 |
| City | DENTON |
| State | TX |
| Zip Code | 76210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| 1699167171 | Clinton Buol | Physical Therapist | 3301 Sundown Blvd, Denton, TX 76210 | 2015-02-20 |
| Find all providers in zip 76210 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028753 | Kimberlee Sell | Dentist | 5800 N I 35 Ste 205, Denton, TX 76207-1438 | 2020-06-17 |
| 1245732783 | Sundar Embar Rangarajan | Dentist | 1300 S Loop 288 Unit 100, Denton, TX 76205 | 2018-03-01 |
| 1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
| 1871039461 | Eric J. Hall, Jr., Dds, P.a. | Dentist | 2318 San Jacinto Blvd Ste 104, Denton, TX 76205-7535 | 2017-01-06 |
| 1497208748 | Amanda Reuter | Dentist | 2203 W University Dr, Denton, TX 76201-0615 | 2016-08-03 |
| 1215333240 | Teasley Center Dental Pllc | Dentist | 5050 Teasley Ln, Suite 110, Denton, TX 76210-3802 | 2014-11-19 |
| 1033511928 | Abc Dental Group Pllc | Dentist | 2548 Lillian Miller Pkwy Ste 120, Denton, TX 76210-7212 | 2014-09-23 |
| 1194124750 | Jonathan Emmanuel Aguilar | Dentist | 1300 Fulton St Ste 401, Denton, TX 76201-2661 | 2014-08-20 |
| 1831508738 | Denton Modern Dentistry and Orthodontics PC | Dentist | 1300 S. Loop 288, Suite 100, Denton, TX 76205 | 2014-08-05 |
| 1013323732 | Denton Shk Dental PC | Dentist | 1800 Brinker Rd Ste 290, Denton, TX 76208-6179 | 2014-07-02 |
| 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.