SOUTH BUCKNER FAMILY DENTISTRY, PLLC (NPI# 1659967925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659967925 |
| Entity Type | Organization |
| Organization Name | SOUTH BUCKNER FAMILY DENTISTRY, PLLC |
| Practice Address | 1638 S Buckner Blvd Dallas TX 75217-1707 |
| Practice Telephone | 9402207833 |
| Mailing Address | 5800 N I 35 Ste 205 Denton TX 76207-1438 |
| Mailing Telephone | 9402207833 |
| Certification Date | 2020-12-21 |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |
| Authorized Official Telephone | 9402207833 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1223G0001X | Dentist Specialization: General Practice | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Dental Providers |
| Street Address | 1638 S BUCKNER BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75217-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708682 | Nancy Sutton | Technician · Attendant Care Provider | 9335 Homeplace Dr, Dallas, TX 75217 | 2019-09-10 |
| 1194135236 | Phat Dien Truong | Student in an Organized Health Care Education/Training Program | 9709 Bruton Rd., Dallas, TX 75217 | 2014-04-29 |
| 1083039226 | Passage of Youth Family Center, Inc. | Exclusive Provider Organization | 1623 Riverway, Dallas, TX 75217 | 2014-02-25 |
| 1649511270 | First Class Motors Inc. | Private Vehicle | 7710 Great Trinity Forest Way #k, Dallas, TX 75217 | 2013-03-06 |
| 1588969893 | Happy Teeth Dental Centers of Dallas PC | Dentist · General Practice | 2020 N Masters Dr Suite #100, Dallas, TX 75217 | 2011-01-18 |
| 1891934899 | Shapa Inc · Rite Care Pharmacy | Pharmacy · Community/Retail Pharmacy | 9415 Bruton Rd, Ste 3103, Dallas, TX 75217 | 2009-02-13 |
| 1033364450 | Walgreen Co · Walgreens #11645 | Durable Medical Equipment & Medical Supplies | 10152 Lake June Rd, Dallas, TX 75217 | 2008-11-26 |
| 1326268533 | Eyad K. Mahrouq | Pharmacist | 1515 S. Buckner Blvd #301, Dallas, TX 75217 | 2007-04-27 |
| 1598886822 | Lake June Medical Center, P.a. | Family Medicine | 7716 Lake June Road, Dallas, TX 75217 | 2007-04-03 |
| 1194869636 | Barbara Jean Cole | Assisted Living Facility | 1364 Gillette St, Dallas, TX 75217 | 2007-02-17 |
| Find all providers in zip 75217 | ||||
| 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 |
|---|---|---|---|---|
| 1477144988 | Mi Seong Kim | 3939 Briargrove Ln Apt 6207, Dallas, TX 75287-6351 | 2021-01-27 | |
| 1861088130 | Northview Plaza Family Dentistry, Pllc | 10675 E Northwest Hwy Ste 16501655, Dallas, TX 75238-4838 | 2020-12-21 | |
| 1407442403 | Coleman Ray Choate | 4606 Cedar Springs Rd Apt 2025, Dallas, TX 75219-7211 | 2020-12-15 | |
| 1861094518 | Jacob K Kruvilla · Fundamental Dental | 11613 N Central Expy Ste 111a, Dallas, TX 75243-3808 | 2020-11-09 | |
| 1609476183 | Texas Saas Pa | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 | |
| 1598377657 | John Arthur Bounds IIi | 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 | 2020-08-20 | |
| 1619589629 | Bahar Iranmehr | 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 | 2020-08-20 | |
| 1023628633 | Allison Yost | 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 | 2020-08-07 | |
| 1669082905 | Jacob Hornberger · Jake Hornberger | 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 | 2020-08-02 | |
| 1346862117 | Cyprian Chibuzor Okobi Jr. | 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 | 2020-05-14 | |
| Find all providers in DALLAS | ||||
| City | DALLAS |
| Zip Code | 75217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356844484 | D&b Dentistry, Pllc · Ancestry Dental | Clinic/Center · Dental | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1023166220 | Buckner Market Place Dental, P.a. · Bear Creek Family Dentistry | Dentist · Pediatric Dentistry | 2947 S Buckner Blvd Ste 100, Dallas, TX 75227-6944 | 2007-01-07 |
| 1164585634 | South Sound Family Dentistry, Pllc · South Sound Family Dentistry | Dentist · General Practice | 703 Lilly Rd Ne Ste 201, Olympia, WA 98506-5256 | 2006-12-18 |
| 1154869121 | Sage Dentistry Iv Pllc · Family and Implant Dentistry of Lafayette | Dentist · General Practice | 1120 W South Boulder Rd, Suite 204, Lafayette, CO 80026-8951 | 2017-02-09 |
| 1679839203 | Bott Dentistry, Pllc · Bott Family Dentistry | Dentist · General Practice | 1223 South Washington Street, Pilot Point, TX 76258 | 2012-04-09 |
| 1902089121 | Bow Family Dentistry, Pllc | Dentist · General Practice | 514 South St, Bow, NH 03304-3419 | 2007-12-11 |
| 1598813289 | Adventure Family Dentistry, Pllc | Clinic/Center · Dental | 701 College Ave, South Houston, TX 77587-4205 | 2007-01-08 |
| 1295107068 | Carl M. Steger, Dds & Associates, Pllc · South Riding Family Dentistry | Dentist · General Practice | 43063 Peacock Market Plz, Ste. 125, South Riding, VA 20152-4473 | 2015-10-20 |
| 1003170309 | Carl M Steger Dds & Associates, Pllc · South Riding Family Dentistry | Clinic/Center · Dental | 43063 Peacock Market Plz Ste 125, South Riding, VA 20152-4478 | 2012-07-02 |
| 1912231556 | Family Dentistry of Sullivan County, Pllc | Dentist | 5085 South Fallsburg Main St., South Fallsburg, NY 12779 | 2009-09-30 |
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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.