Organization Active NPI

Sulphur Springs Children'S Dentistry

  • Dentist
  • Sulphur Springs, TX
National Provider Identifier
1043923337
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SULPHUR SPRINGS CHILDREN'S DENTISTRY
Practice address
226 Main St
Sulphur Springs, TX 75482-2707
Phone
(903) 558-1260
Fax
(903) 558-1262
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Bennett Joe Vaculik, DDS
Title
Managing Partner
Phone
(903) 243-4790

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

226 Main St
Sulphur Springs, TX 75482-2707

Mailing address

226 Main St
Sulphur Springs, TX 75482-2707
Phone (903) 558-1260

National Provider Directory

National Provider Directory

Locations

226 Main St
Sulphur Springs, TX 75482
Phone (469) 734-7942

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1043923337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822707",
            "telephone_number": "903-558-1260",
            "fax_number": "903-558-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822707",
            "telephone_number": "903-558-1260",
            "fax_number": "903-558-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULPHUR SPRINGS CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "VACULIK",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "903-243-4790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.