Woodlake Molina PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27850 Issued in TX

Legal business name

WOODLAKE MOLINA PLLC

Practice address

2721 Little Elm Pkwy
Little Elm, TX 75068-6685

Phone

(682) 888-0853

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Antonio Molina, DDS

Title

President

Phone

(305) 632-2530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1033594239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 LITTLE ELM PKWY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686685",
            "telephone_number": "682-888-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 LITTLE ELM PKWY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686685",
            "telephone_number": "682-888-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE MOLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-632-2530",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wink Eye Care, PLLC (Wink Eye Care)
• Jill Ellen Wolf, MD
• Kimberly Sue Wolf, FNPC
• June Christine Won, OD
• Woodlake Family Dentistry
• Amanda Katherine Wyatt, FNP-C
• Khalida N/a Yasmin, M.D.
• Jocelyn Estrella Yu, DDS
• Rangish Yuvaraj
• Linette Zamora

• General Practice Dentistry in Little Elm, TX
• Providers in Little Elm, 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 Jul 29, 2015; 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.