William David Dean, D.D.S. P.A.
Individual provider Active NPI General Practice Dentistry · Floydada, TX
NPI 1114059268 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114059268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11412 (TX)
- Practice address
- 901 W Crockett St
Floydada, TX 79235-3609 - Phone
- (806) 983-2975
- Fax
- (806) 983-3068
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131226000085 | TX | Practitioner - Oral Surgery | 1951538768 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Centers | General Practice | Current |
Accepting new patients |
| United Medical Centers | Current |
Accepting new patients |
Locations
2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11412 | TX | Yes |
Addresses
Primary practice location
901 W Crockett St
Floydada, TX 79235-3609
Mailing address
PO Box 415
Floydada, TX 79235-0415
Phone (806) 983-2975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11412 | Other | TX | LICENSE NUMBER |
Other providers in Floydada, TX
- Caprock Hospital District
- Stefanni Chavarria
- Jennifer Renee' Deady
- Floydada Emergency Medical Services
- Floydada Family Dentistry, PLLC
- Floydada Health Care LLC
- Floydada Health Care LLC
- Floydada Independent School District
All providers in Floydada, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.