Tahoka Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TAHOKA DENTISTRY PLLC

Practice address

2428 Lockwood Street
Tahoka, TX 79373

Phone

(806) 601-0333

Fax

(806) 601-0339

NPI assigned

Feb 14, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Roy Menlove, DDS

Title

President

Phone

(801) 448-2346

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1033914965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ESSEX LANE",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "79382",
            "telephone_number": "801-448-2346",
            "fax_number": "806-507-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 LOCKWOOD STREET",
            "city": "TAHOKA",
            "state": "TX",
            "postal_code": "79373",
            "telephone_number": "806-601-0333",
            "fax_number": "806-601-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOKA DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "MENLOVE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-448-2346",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00185523",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440696902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick J Edwards MD PA
• Kimberly Beth Raney, APN
• Melanie Ann Richburg, FNP
• Ashley Susan Skrabanek, FNP-C
• Candace Nalyn Swartz, PHARMD
• Tahoka Drug Inc
• Griffith William Thomas, M.D.
• Lindy Thomas, PA
• Kylynn Raegan Vega, OTD, OTR
• Richard Martin White, DDS

• General Practice Dentistry in Tahoka, TX
• Providers in Tahoka, 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 Feb 14, 2025; 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.