Hereford Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24348 Issued in TX

Legal business name

HEREFORD DENTAL PLLC

Practice address

701 N 25 Mile Ave
110
Hereford, TX 79045-3054

Phone

(806) 363-6690

NPI assigned

May 3, 2017

Last updated

May 3, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gunjan Dhir

Title

Owner/Dentist

Phone

(806) 363-6690

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Byron Jenaro Malilay Junio, DMD

  • General Practice Dentistry
  • Edmonds, WA
  • NPI 1588150098
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1003342510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 25 MILE AVE",
            "address_2": "110",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790453054",
            "telephone_number": "806-363-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 25 MILE AVE",
            "address_2": "110",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790453054",
            "telephone_number": "806-363-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEREFORD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "DHIR",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "806-363-6690"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karaesa Dionne Gudgell, MSN, RN, CNO
• Jordan Hackett, NRP
• John E Hartin, CRNA
• Kimberly Briar Head
• Jennifer Louise Heiman, FNP-C
• Hereford I Enterprises, LLC (Hereford Nursing & Rehabilitation)
• Hereford Investment Group, LLC (Hereford Care Center)
• Hereford Isd
• Hereford Pharmacy, LLC (Hereford Pharmacy)
• Hereford Pharmacy, LLC (Hereford Health Mart Pharmacy)

• General Practice Dentistry in Hereford, TX
• Providers in Hereford, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.