JOHN L. ESTES III DDS INC (NPI# 1902924376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902924376 |
Entity Type | Organization |
Organization Name | JOHN L. ESTES III DDS INC |
Other Organization Name | ESTES FAMILY DENTISTRY |
Practice Address |
1809 Pine St Abilene TX 79601-2479 |
Practice Telephone | 3256772645 |
Mailing Telephone | 3256772645 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JOHN L ESTES III (OWNER) |
Authorized Official Telephone | 3256772645 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
10988 | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Estes Family Dentistry | Other Name - Individual/Organization |
Street Address |
1809 PINE ST |
City | ABILENE |
State | TX |
Zip Code | 79601-2479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265560692 | John Levi Estes IIi | Dentist | 1809 Pine St, Abilene, TX 79601-2479 | 2007-02-28 |
1871814178 | John Levi Estes Iv | Dentist | 1809 Pine St, Abilene, TX 79601-2479 | 2010-06-21 |
1487974614 | Lacy Gallaway Mankin | Dentist | 1809 Pine St, Abilene, TX 79601-2479 | 2010-06-10 |
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Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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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.