AFFORDABLE DENTIST NEAR ME IN WACO PLLC (NPI# 1760842587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760842587 |
| Entity Type | Organization |
| Organization Name | AFFORDABLE DENTIST NEAR ME IN WACO PLLC |
| Other Organization Name | AFFORDABLE DENTIST NEAR ME |
| Practice Address |
4573 Lake Shore Dr Waco TX 76710-1814 |
| Mailing Address |
5416 Basswood Blvd Fort Worth TX 76137-4400 |
| Practice Telephone | 8176561215 |
| Practice Fax Number | 8772308349 |
| Mailing Telephone | 8176561215 |
| Mailing Fax Number | 8772308349 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | DR. TRI PHAM (DENTIST/OWNER) |
| Authorized Official Telephone | 8176561215 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24570 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| AFFORDABLE DENTIST NEAR ME | Doing Business As Name - Organization |
| Street Address |
4573 LAKE SHORE DR |
| City | WACO |
| State | TX |
| Zip Code | 76710-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649725482 | Chung Chien Hsia | Dentist | 4573 Lake Shore Dr, Waco, TX 76710-1814 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| 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 |
|---|---|---|---|---|
| 1528686409 | Shyamali Saha | Dentist | 1428 Wooded Acres Dr Ste 126, Waco, TX 76710-4466 | 2020-07-08 |
| 1023521309 | Dental Health Associates of Texas, PC | Dentist | 715 N 64th St, Waco, TX 76710-4387 | 2017-11-09 |
| 1952837189 | Ace Dental06, PC | Dentist | 1428 Wooded Acres Dr, Waco, TX 76710-4500 | 2017-05-09 |
| 1780123356 | Scott Kennedy | Dentist | 609 Elm Avenue, Waco, TX 76704 | 2017-02-15 |
| 1295123982 | Robin Mcginnis | Dentist | 824 Hewitt Dr, Waco, TX 76712-6656 | 2015-01-02 |
| 1871932848 | Myrna Odeth Gamez | Dentist | 415 Owen Ln Apt 912, Waco, TX 76710-8915 | 2013-06-22 |
| 1679817241 | Devin Theodore Gneiting | Dentist | 7124 Woodway Dr, Waco, TX 76712-6102 | 2012-11-20 |
| 1528389434 | Heart of Texas Community Health Center, Inc | Dentist | 225 W Waco Dr, Waco, TX 76707-3836 | 2010-06-15 |
| 1265654339 | Everett B Watson Jr. | Dentist | 8104 Woodway Dr., Waco, TX 76712-3804 | 2007-05-02 |
| 1467676593 | Steven Tippen Cutbirth | Dentist | 1613 Lake Success Dr, Waco, TX 76710-2908 | 2007-04-12 |
| Find all providers in WACO | ||||
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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.