Wisdom Teeth Guys - Texas, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22989 Issued in TX

Legal business name

WISDOM TEETH GUYS - TEXAS, PLLC

Practice address

6401 S Cooper St Ste 105
Arlington, TX 76001-6752

Phone

(214) 317-4039

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Ryan Johnson, DDS

Title

Managing Member

Phone

(702) 299-5821

Specialties & licenses 1

Addresses

Other names 1

• Wisdom Teeth Guys Doing business as

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1205284247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 W 11000 N STE 103-226",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038942",
            "telephone_number": "801-899-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S COOPER ST STE 105",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760016752",
            "telephone_number": "214-317-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM TEETH GUYS - TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-299-5821",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisdom Teeth Guys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadia Winston, FNP-BC
• Alana Wirgau, PHARMD
• Rodney Paul Wirth, D.C.
• Stephanie Wischmeyer
• Wisdom Counseling, LLC
• With Love & Care Home Health Services LLC
• Tammi Evans Witherspoon
• Without Limits Therapy Inc Corporation
• John Brian Witte, DDS
• Andrea Marlene Wofford, LMT

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, 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 Jun 1, 2016; 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.