Antolin-Sanchez Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25428 Issued in TX

Legal business name

ANTOLIN-SANCHEZ DENTAL GROUP PLLC

Practice address

105 Country View Dr Ste 300
Roanoke, TX 76262-2057

Phone

(682) 237-2353

Fax

(682) 237-2352

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Rhea Antolin, DDS

Title

Owner

Phone

(682) 237-2353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Rhea Theresa Coronel Antolin, D.M.D.

  • General Practice Dentistry
  • Roanoke, TX
  • NPI 1396065504
  NPD

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1154810240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COUNTRY VIEW DR STE 300",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762622057",
            "telephone_number": "682-237-2353",
            "fax_number": "682-237-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COUNTRY VIEW DR STE 300",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762622057",
            "telephone_number": "682-237-2353",
            "fax_number": "682-237-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTOLIN-SANCHEZ DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "ANTOLIN",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-237-2353",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1396065504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Alic, MD
• Amal Almatroud
• Angela Alvarez
• Always Hospice Inc
• Jonathan Angwin, D.D.S.
• Rhea Theresa Coronel Antolin, D.M.D.
• Roddrick Keith Armwood
• Amanda Kay Attaway
• Babies and Bellies Family Chiropractic PLLC
• Kimberley Anne Baker, D.D.S.

• General Practice Dentistry in Roanoke, TX
• Providers in Roanoke, 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 May 31, 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.