William J. Mardaga, D.D.S.,M.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10990 Issued in TX

Practice address

4850 W Panther Creek Dr
Suite 108
The Woodlands, TX 77381-3607

Phone

(281) 367-7775

Fax

(281) 367-1247

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Soh of Texas Specialty Services PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • The Woodlands, TX
  • NPI 1992470470
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1245329515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W PANTHER CREEK DR",
            "address_2": "SUITE 108",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813607",
            "telephone_number": "281-367-7775",
            "fax_number": "281-367-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W PANTHER CREEK DR",
            "address_2": "SUITE 108",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813607",
            "telephone_number": "281-367-7775",
            "fax_number": "281-367-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDAGA",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "10990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Jo Manuel-Saldivar, O.D.
• Rebecca Marie Manuel, PTA
• Brandy Maphet, MD
• Abigail Kathryn Marcotte, APRN
• Marcus Darnell Smith
• Ryan Marek, PH.D.
• Crystal A Mark, FNP, DC
• Ferenc Markos, MD
• Latoia Monneque Marks, MD
• Michael Dean Marlow, DO

• Orthodontics and Dentofacial Orthopedics Dentistry in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.