Theodore DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THEODORE DDS PLLC

Practice address

625 S Preston Rd
Celina, TX 75009

Phone

(917) 974-7234

NPI assigned

Dec 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Amir Botros, DDSNPI 1720606809

Title

General Dentist and Owner

Phone

(917) 974-7234

Specialties & licenses 1

Addresses

Other names 1

• Promise Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amir Botros

  • Dentist
  • Big Spring, TX
  • NPI 1720606809
  NPD Authorized official

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1104538172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 BAREFOOT LN",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750091686",
            "telephone_number": "917-974-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S PRESTON RD",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "75009",
            "telephone_number": "917-974-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "GENERAL DENTIST AND OWNER",
        "authorized_official_telephone_number": "917-974-7234",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Afusat Sulyman
• Hazzel Taguta
• Norman Tanner
• Texas Health Urgent Care
• Texas Pro Homecare Inc.
• Arame Thiam Diouf, M.D.
• Brandis F Thompson, CRNA
• Blair Thwaites, MD
• Todd R. Brantley, LLC
• Grethel Gutierrez Toothman, M.S. CCC-SLP

• Dentist in Celina, TX
• Providers in Celina, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.