Edna Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27025 Issued in TX

Legal business name

EDNA DENTISTRY, PLLC

Practice address

1006 N Wells St
Edna, TX 77957-2151

Phone

(361) 792-3722

Fax

(888) 276-1646

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Dana Chaney Perez

Title

Regional Manager

Phone

(361) 552-5800

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emilie Faucheu, DMD

  • Dentist
  • Edna, TX
  • NPI 1245760784
  NPD (past)
• Bryce Allen O'Donnell, DDS

  • Dentist
  • Port Lavaca, TX
  • NPI 1154056927
  NPD (past)
• Richard Matthew Terasaki, D.D.S.

  • Dentist
  • Port Lavaca, TX
  • NPI 1386650307
  NPD (past)

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1013378736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "361-792-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572151",
            "telephone_number": "361-792-3722",
            "fax_number": "888-276-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "CHANEY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "361-552-5800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citizens Medical Center County of Victoria
• City of Edna Volunteer Ambulance Service
• Stephanie Cunningham, FNP-C
• Hiwot Dinkale, DR
• Deke Steven Eberhard, M.D.
• Edna Isd
• Edna Pharmacy LLC
• Anne Frances Farris, R.D.,CDE
• Robert W. Farris Jr., APRN,BC
• Emilie Faucheu, DMD

• All providers in Edna, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.