SOUTH BUCKNER FAMILY DENTISTRY, PLLC
Dentist (General Practice)

Address: 1638 S Buckner Blvd, Dallas, TX 75217-1707

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1638 S BUCKNER BLVD
City DALLAS
State TX
Zip Code 75217-1707

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NPI Name Taxonomy Address Enumeration
1437708682 Nancy Sutton Technician · Attendant Care Provider 9335 Homeplace Dr, Dallas, TX 75217 2019-09-10
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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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City DALLAS
Zip Code 75217

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Dataset Information

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.