HUNTSVILLE FAMILY DENTAL (NPI# 1891359725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891359725 |
| Entity Type | Organization |
| Organization Name | HUNTSVILLE FAMILY DENTAL |
| Practice Address |
3301 Collard Rd Huntsville TX 77340-6418 |
| Mailing Address |
4324 Lazy Creek Dr Tyler TX 75707-1554 |
| Practice Telephone | 9362955437 |
| Mailing Telephone | 9402068956 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | DR. WILLIAM ROBERT JENNINGS JR. (OWNER) |
| Authorized Official Telephone | 9402068956 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
3301 COLLARD RD |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
| 1467938555 | Dan M. Luther, Dmd, PC | Clinic/Center | 2305 Whitesburg Dr Se, Huntsville, AL 35801-3819 | 2018-07-12 |
| 1497248975 | Redstone Dental | Clinic/Center | 2288 Zierdt Rd, F, Huntsville, AL 35824 | 2018-06-11 |
| 1063900819 | Huntsville West Dental, PC | Clinic/Center | 4710 University Dr Nw Ste L, Huntsville, AL 35816-3408 | 2018-04-27 |
| 1407279722 | Dental Professionals On Whitesburg | Clinic/Center | 8315 Whitesburg Dr Se, Huntsville, AL 35802-3007 | 2014-01-22 |
| 1982950036 | Tyson Dental, Inc | Clinic/Center | 1410 Paramount Dr Ste A, Huntsville, AL 35806-3010 | 2012-07-26 |
| 1710241724 | North Alabama Prosthodontics, P.C. | Clinic/Center | 807 Regal Dr Sw, Huntsville, AL 35801-5604 | 2012-06-25 |
| 1205454105 | Ld Huntsville LLC | Clinic/Center | 4240 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-5633 | 2020-07-08 |
| 1427699917 | Lily Flagg Dentistry | Clinic/Center | 112 Lily Flagg Rd Sw Ste A, Huntsville, AL 35802-3040 | 2019-10-05 |
| 1356853733 | Dr.roy Mccray | Clinic/Center | 2510 Pulaski Pike Nw, Huntsville, AL 35810-3746 | 2017-10-25 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
Please comment or provide details below to improve the information on HUNTSVILLE FAMILY DENTAL.
| 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.