Candice Denison, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30066 Issued in TX

Practice address

5400 New Copeland Rd
Tyler, TX 75703-3950

Phone

(903) 534-1171

NPI assigned

Aug 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C & C Dental Family PLLC

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1356168272
  NPD
• Smith, Ogletree, Smith General Partnership

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1508175456
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1225438005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W CUMBERLAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035483",
            "telephone_number": "903-581-5500",
            "fax_number": "903-581-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033950",
            "telephone_number": "903-534-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISON",
        "first_name": "CANDICE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Benjamin Delarosa, PA-C
• Kelly Delbert
• Angela Delfraisse
• Mary Lou Dene, MD
• Sean C Denham, M.D.
• Caitlin Denman
• Luequetta Dennis-Kelly
• Robert Wayne Dennis, MD
• Lester Jay Denson Jr.
• Melinda Denson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.