Acre Wood Dental - Gatesville PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ACRE WOOD DENTAL - GATESVILLE PA

Practice address

105 N Lutterloh Ave
Gatesville, TX 76528-1421

Phone

(254) 865-7918

Fax

(254) 248-0529

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Kisha L Fuentes

Title

Office Manager

Phone

(254) 778-4951

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Robert B Edwards, DDS

  • General Practice Dentistry
  • Gatesville, TX
  • NPI 1861099517
  NPD
• Bobby L Bates, D.D.S.

  • General Practice Dentistry
  • Gatesville, TX
  • NPI 1801012406
  NPD (past)
• Colby Dimond, D.D.S.

  • Dentist
  • Waco, TX
  • NPI 1730560913
  NPD (past)
• Ryan Olzack, DDS

  • General Practice Dentistry
  • Temple, TX
  • NPI 1710335492
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1225675366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N LUTTERLOH AVE",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281421",
            "telephone_number": "254-865-7918",
            "fax_number": "254-248-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N LUTTERLOH AVE",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281421",
            "telephone_number": "254-865-7918",
            "fax_number": "254-248-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACRE WOOD DENTAL - GATESVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "KISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-778-4951"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renu Aggarwal, DDS
• Amy Allison, MS, CCC-SLP
• Allman Counseling PLLC
• Lanessa Kay Allman, LPC
• William Almond, PHARM.D

• General Practice Dentistry in Gatesville, TX
• Providers in Gatesville, 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 Dec 9, 2019; 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.