FURQUERON & JACKSON DENTISTRY PARTNERSHIP (NPI# 1780992586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780992586 |
| Entity Type | Organization |
| Organization Name | FURQUERON & JACKSON DENTISTRY PARTNERSHIP |
| Other Organization Name | HENDERSON FAMILY DENTISTRY |
| Practice Address |
1910 State Hwy 43 East Henderson TX 75652 |
| Practice Telephone | 9036573139 |
| Practice Fax Number | 9036550699 |
| Mailing Telephone | 9036573139 |
| Mailing Fax Number | 9036550699 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-06-04 |
| Authorized Official Name | BRIAN C JACKSON (OWNER/PARTNER) |
| Authorized Official Telephone | 9036573139 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19316 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1946717-07 | 05 | |
| TX | 194671701 | 05 | |
| TX | 0901829-02 | 05 | |
| TX | 0901829-07 | 05 |
| Other Name | Type Code |
|---|---|
| Henderson Family Dentistry | Doing Business As Name - Organization |
| Street Address |
1910 STATE HWY 43 EAST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| 1710073051 | Buddy D Furqueron | Dentist | 1910 State Hwy 43 E, Henderson, TX 75652 | 2006-10-05 |
| Find all providers in zip 75652 | ||||
| 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 |
|---|---|---|---|---|
| 1760096614 | Nevada Dental Professional, Quirt, Gates, PC | Dentist | 55 S Valle Verde Dr Ste 250, Henderson, NV 89012-3479 | 2020-09-08 |
| 1700406618 | Joshua M. Ignatowicz Dmd PC | Dentist | 1070 W Horizon Ridge Pkwy Ste 121, Henderson, NV 89012-6019 | 2020-04-21 |
| 1821623059 | Yip Horizon Ridge Modern Dentistry, PC | Dentist | 10525 S Eastern Ave Ste 100, Henderson, NV 89052-3971 | 2020-03-09 |
| 1396392080 | Cheng Tang | Dentist | 2570 Wigwam Pkwy Unit 110, Henderson, NV 89074-6226 | 2019-08-19 |
| 1609437797 | Bradley Dinh Truong | Dentist | 725 S Green Valley Pkwy Ste 100, Henderson, NV 89052-0455 | 2019-06-27 |
| 1679054662 | Julianne Christine Doty | Dentist | 4301 E Sunset Rd Ste 100, Henderson, NV 89014-2238 | 2018-08-27 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1891282091 | Saloni Bhardwaj Luckoor | Dentist | 2570 Wigwam Pkwy Ste 110, Henderson, NV 89074-6225 | 2018-04-13 |
| 1033619812 | John Thomas Sears | Dentist | 900 Industrial Dr, Henderson, TX 75652-5000 | 2018-02-18 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| Find all providers in HENDERSON | ||||
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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.