Luke Jacob Dlabal III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28384 Issued in TX

Practice address

5605 Old Bullard Rd
Tyler, TX 75703-4306

Phone

(903) 747-3919

NPI assigned

Aug 17, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saving the World One Tooth at a Time PLLC

  • General Practice Dentistry
  • Troup, TX
  • NPI 1932995438
  NPD Authorized official

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1023323896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 OLD BULLARD RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 OLD BULLARD RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034306",
            "telephone_number": "903-747-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLABAL",
        "first_name": "LUKE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Dixon, RNC, BSN
• Kathleen Dixon
• La'Shyia Dixon
• Sabra L Dixon, PA-C
• Nhu-Nguyen Bernadette Dizon
• Xuan DO, PHARM.D.
• Kimberly Dobbs
• Hunter Scott Dockery, PHARMD
• Doctors Hearing Center LLC Lxxiig
• Lindy M Dolan, PA-C

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, 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 Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.