NORTHEAST DALLAS DENTISTRY, PC

Address: 6401 East Northwest Highway, Suite 100, Dallas, TX 75231
Phone: 2143020807

NORTHEAST DALLAS DENTISTRY, PC (NPI# 1003383373) 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) 1003383373
Entity Type Organization
Organization Name NORTHEAST DALLAS DENTISTRY, PC
Practice Address 6401 East Northwest Highway
Suite 100
Dallas
TX 75231
Mailing Address 17000 Red Hill Ave
Irvine
CA 92614-5626
Practice Telephone 2143020807
Mailing Telephone 7148458201
Mailing Fax Number 3039520892
Enumeration Date 2018-10-25
Last Update Date 2018-10-25
Authorized Official Name DR. OLIVIA SANTILLAN (DDS/OWNER)
Authorized Official Telephone 2143020807
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Northeas Dallas Dentistry Doing Business As Name - Organization

Office Location

Street Address 6401 EAST NORTHWEST HIGHWAY
SUITE 100
City DALLAS
State TX
Zip Code 75231

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659987022 Specialists In Geriatric and Palliative Care Medicine Pllc Clinic/Center 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 2020-09-21
1013546118 The Legacy Midtown Park, Inc Skilled Nursing Facility 8280 Manderville Lane, Dallas, TX 75231 2020-04-02
1518442565 Daniel Max & Marc Andrea LLC Optometrist 6471 E Northwest Hwy, Dallas, TX 75231 2018-09-26
1760964100 Amber Nicole Caruthers Nurse Practitioner 8060 Park Lane, Dallas, TX 75231 2018-09-01
1376024893 Brittany Leigh Stedman Physical Therapist 8130 Meadow Rd, Dallas, TX 75231 2018-08-23
1700367224 Tia Cornelius Occupational Therapy Assistant 8130 Meadow Rd., Dallas, TX 75231 2018-08-23
1538653753 Manju R. Goyal M.d. Psychiatry Pllc Psychiatry & Neurology 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 2018-06-20
1497246813 Stacy Jo Thomas Counselor 10260 N Central Expy Ste 280, Dallas, TX 75231 2018-05-21
1235626615 Texas Health Presbyterian Hospital Dallas Durable Medical Equipment & Medical Supplies 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 2018-04-20
1942702121 Parklane Prescription Services Company Durable Medical Equipment & Medical Supplies 6873 Shady Brook Ln, Dallas, TX 75231 2018-03-05
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255938296 Cameron Togrye Dentist 5215 Belmont Ave Apt 7308, Dallas, TX 75206-7598 2020-10-02
1376155762 Thy Hong Nguyen Dentist 17721 Dallas Pkwy Ste 106, Dallas, TX 75287-7338 2020-08-18
1043820590 Ronald Mauricio Velasquez Dentist 611 N Bishop Ave Ste 102, Dallas, TX 75208-4361 2020-08-08
1629688767 Corbin Reed Alhadef Dentist 8226 Douglas Ave Ste 753, Dallas, TX 75225-5929 2020-08-04
1942819883 Gabrielle Kubas Dentist 775 Peavy Rd, Dallas, TX 75218-2175 2020-07-27
1134738156 Erin Medina Dentist 7510 E Grand Ave Apt 1304, Dallas, TX 75214-4163 2020-07-26
1841816790 Faisal Abdul Rehman Dentist 14041 Preston Rd Apt 1506e, Dallas, TX 75254-3491 2020-06-16
1790307726 Seyedeh Delaram Abaei Dentist 8610 Greenville Ave Ste 150, Dallas, TX 75243-7159 2020-05-13
1396377594 Fresca Dental Pllc Dentist 10121 Lake June Rd Ste 118, Dallas, TX 75217-5345 2020-02-06
1104456276 Eduardo Guzman-Almaguer Dentist 4228 N Central Expy Ste 120, Dallas, TX 75206-6548 2020-01-17
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Competitor

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City DALLAS
Zip Code 75231

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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.