College Station Dentistry and Orthodontics PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COLLEGE STATION DENTISTRY AND ORTHODONTICS PLLC

Doing business as

College Station Dentistry and Orthodontics

Practice address

11671 FM 2154 Rd Ste 400
College Station, TX 77845-4796

Phone

(979) 221-2423

Fax

(979) 221-2426

NPI assigned

Mar 16, 2018

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny Garcia

Title

Sr Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• College Station Dentistry and Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Stephen Moore, D.D.S.

  • Dentist
  • New Braunfels, TX
  • NPI 1568402170

  General Practice

  NPD (past)
• Michonne Danielle West, DDS

  • General Practice Dentistry
  • Athens, AL
  • NPI 1225530124
  NPD (past)

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1083117907",
    "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": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 FM 2154 RD STE 400",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454796",
            "telephone_number": "979-221-2423",
            "fax_number": "979-221-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE STATION DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Station Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Mariesa Coleman-Smith, CRNA
• Michaela Hannah Coleman
• Cooper Coley
• College Station Chiropractic
• College Station Chiropractic, P.C.
• College Station ER, LLC (Signature Care Emergency Center - College Station)
• College Station Hospital LP (College Station Medical Center)
• College Station Hospital LP (College Station Medical Center)
• College Station Hospital LP (College Station Medical Center)
• College Station I Enterprises, L.L.C. (Fortress Nursing and Rehabilitation)

• General Practice Dentistry in College Station, TX
• Providers in College Station, 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 Apr 2, 2024; 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.