DENTAL PRACTICE GROUP LLC (NPI# 1992982649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992982649 |
| Entity Type | Organization |
| Organization Name | DENTAL PRACTICE GROUP LLC |
| Other Organization Name | MAGNOLIA PARK DENTAL/FLOWER MOUND DENTAL |
| Practice Address |
651 N Denton Tap Rd Ste 170 Coppell TX 75019-7937 |
| Mailing Address |
2002 S Stemmons Fwy Ste 500 Lake Dallas TX 75065-3633 |
| Practice Telephone | 9728994900 |
| Practice Fax Number | 9728994928 |
| Mailing Telephone | 9403212205 |
| Mailing Fax Number | 9403212054 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | DR. WILLIAM ROBERT JENNINGS JR. (DOCTOR/OWNER) |
| Authorized Official Telephone | 9402068956 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 18962 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Magnolia Park Dental/Flower Mound Dental | Doing Business As Name - Organization |
| Street Address |
651 N DENTON TAP RD STE 170 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-7937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366652539 | Trumon D Davis | Dentist | 651 N Denton Tap Rd Ste 170, Coppell, TX 75019-7937 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115202 | Brian J Kallarackal | Dentist | 239 Aspenway Dr, Coppell, TX 75019-5506 | 2020-08-18 |
| 1811556707 | Andrew Holovnia | Dentist | 445 S Denton Tap Rd Ste 110, Coppell, TX 75019-3368 | 2019-06-13 |
| 1295211092 | Christopher B Gibson | Dentist | 120 S Denton Tap Rd # 270a, Coppell, TX 75019-3297 | 2018-07-14 |
| 1225585128 | Patricia Holmes | Dentist | 3177 Scotch Creek Rd Unit 105, Coppell, TX 75019-4992 | 2016-09-08 |
| 1689044612 | Tranquility Dental, Pllc | Dentist | 697 E State Highway 121, Coppell, TX 75019-7951 | 2015-10-02 |
| 1730429481 | Jinous Ferdousian | Dentist | 143 S Denton Tap Rd Ste 180, Coppell, TX 75019-3375 | 2013-02-17 |
| 1366652539 | Trumon D Davis | Dentist | 651 N Denton Tap Rd Ste 170, Coppell, TX 75019-7937 | 2007-05-23 |
| 1043430861 | Prachi Deore | Dentist | 760 North Denton Tap Road, Ste 190, Coppell, TX 75019 | 2007-04-26 |
| 1487727780 | Glynn Keith Solomon | Dentist | 188 W Parkway Blvd, Coppell, TX 75019-2228 | 2006-11-16 |
| 1285744011 | Frank J Stich IIi | Dentist | 495 S Denton Tap Road, Coppell, TX 75019-3202 | 2006-08-30 |
| Find all providers in COPPELL | ||||
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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.