MRS. CARLA MATWIJECKY DAMON (NPI# 1821361858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821361858 |
| Entity Type | Individual |
| Full Name | MRS. CARLA MATWIJECKY DAMON |
| Credential | DDS |
| Practice Address |
375 Municipal Dr Ste 104 Richardson TX 75080-3543 |
| Practice Telephone | (972) 669-3663 |
| Mailing Telephone | (972) 669-3663 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
28646 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3219 N Macarthur Blvd, Irving, TX 750628805 | 9722527569 |
| Street Address |
375 MUNICIPAL DR STE 104 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659502730 | Canyon Creek Family Dentistry, P.a. | Dentist | 2091 N Collins Blvd Ste 100, Richardson, TX 75080-2636 | 2009-08-06 |
| 1881831790 | Dane Hoang D.d.s., M.s & Associates | Dentist | 4011 E Renner Rd, Suite 108, Richardson, TX 75082-2916 | 2009-01-14 |
| 1730309402 | Dr Robert E Morgan | Dentist | 375 Municipal, Suite 104, Richardson, TX 75080 | 2007-04-26 |
| 1912058439 | Martha A Alvarez | Dentist | 312 Fall Creek Dr, Richardson, TX 75080-2573 | 2007-01-12 |
| 1205922853 | Terri Eileen Train | Dentist | 100 N. Central Expressway, Suite 1108, Richardson, TX 75080-5328 | 2006-10-04 |
| 1376020149 | Nelcy Sanchez | Dentist | 3610 Shire Blvd Ste 110, Richardson, TX 75082-2239 | 2018-07-25 |
| 1649632365 | Juveria Syed Ali Hussain | Dentist | 3610 Shire Blvd Ste 110, Richardson, TX 75082-2239 | 2016-03-22 |
| 1063744050 | Harold Von Simpson | Dentist | 100 N Central Expy, Suite 1108, Richardson, TX 75080-5332 | 2010-02-02 |
| 1386810505 | Candice Zerby Hutcheson | Dentist | 100 N Central Expy, Suite 1108, Richardson, TX 75080-5332 | 2008-05-07 |
| 1407971724 | G. Ray Hamby, D.d.s., M.s.d., Inc. | Dentist | 100 N Central Expy, Suite 1108, Richardson, TX 75080-5332 | 2007-03-20 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
Please comment or provide details below to improve the information on MRS. CARLA MATWIJECKY DAMON.
| 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.