DR. DALE A BURGDORF (NPI# 1982784963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982784963 |
| Entity Type | Individual |
| Full Name | DR. DALE A BURGDORF |
| Credential | DDS |
| Practice Address |
6190 Lyndon B Johnson Fwy #100 Dallas TX 75240-6344 |
| Practice Telephone | 9723867513 |
| Practice Fax Number | 9724908282 |
| Mailing Telephone | 9723867513 |
| Mailing Fax Number | 9724908282 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12174 | TX | Dental Providers |
| Street Address |
6190 LYNDON B JOHNSON FWY #100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-6344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675589 | Robert Allen Farkas | Internal Medicine | 6190 Lyndon B Johnson Fwy, 702, Dallas, TX 75240-6344 | 2005-08-02 |
| 1497149603 | Sophie Terzo | Nurse Practitioner | 6190 Lyndon B Johnson Fwy, Dallas, TX 75240-6344 | 2015-03-25 |
| 1952446775 | North Texas Kidney Specialists, P.a. | Specialist | 6190 Lyndon B Johnson Fwy, Suite 702, Dallas, TX 75240-6344 | 2007-02-20 |
| 1891837720 | Fiesta Pharmacy | Pharmacist | 6190 Lyndon B Johnson Fwy, Suite #600, Dallas, TX 75240-6344 | 2007-02-14 |
| 1184766560 | Gregory John Stagnone | Specialist | 6190 Lyndon B Johnson Fwy, Suite 500, Dallas, TX 75240-6344 | 2007-02-13 |
| 1639198310 | David Brock Lynn Jr. | Dentist | 6190 Lyndon B Johnson Fwy, Suite 900, Dallas, TX 75240-6344 | 2006-07-19 |
| 1588665780 | Michael J Landgarten | Internal Medicine | 6190 Lyndon B Johnson Fwy, 702, Dallas, TX 75240-6344 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| 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 |
|---|---|---|---|---|
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1619589629 | Bahar Iranmehr | Dentist | 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 | 2020-08-20 |
| 1598377657 | John Arthur Bounds IIi | Dentist | 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 | 2020-08-20 |
| 1023628633 | Allison Yost | Dentist | 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 | 2020-08-07 |
| 1669082905 | Jacob Hornberger | Dentist | 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 | 2020-08-02 |
| 1346862117 | Cyprian Chibuzor Okobi Jr. | Dentist | 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 | 2020-05-14 |
| 1316577463 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 5225 Belt Line Rd Ste 222, Dallas, TX 75254-1436 | 2020-01-16 |
| 1598312589 | Laura Gabriela Choque | Dentist | 9030 Southwestern Blvd Apt 3225, Dallas, TX 75214-1542 | 2019-08-23 |
| 1326694894 | Blake Collier Burnstad | Dentist | 7013 Kenwell St, Dallas, TX 75209-4840 | 2019-08-12 |
| 1538713011 | Preston Rsvi Pllc | Dentist | 13536 Preston Rd Ste 108, Dallas, TX 75240-5227 | 2019-08-01 |
| Find all providers in DALLAS | ||||
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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.