Forest Trail Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FOREST TRAIL DENTAL CARE

Practice address

4206 Lowes Dr
Temple, TX 76502-3498

Phone

(254) 778-5070

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Terry S Proctor, D.D.S.NPI 1144231135

Title

Partner

Phone

(254) 778-5070

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Terry Spencer Proctor, D.D.S.

  • General Practice Dentistry
  • Temple, TX
  • NPI 1144231135
  NPD (past) Authorized official
• Wendell Keith Porter, RDH

  • Dental Hygienist
  • Temple, TX
  • NPI 1326645888
  NPD (past)
• Lia Risk, D.D.S.

  • General Practice Dentistry
  • Normangee, TX
  • NPI 1245610849
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255464343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 LOWES DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023498",
            "telephone_number": "254-778-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 LOWES DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023498",
            "telephone_number": "254-778-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST TRAIL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "254-778-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Joyce Ford Carwise, PHARMD
• Brenda Smith Ford, R.N.
• Elizabeth Ford
• Madeline Ford
• Heath Benton Foreman, D.O.
• Patricia Lauren Forest, M.D.
• Douglas S. Fornfeist, M.D.
• Sina Foroughi
• Mai Forsmann, DO, PHARMD
• Curtis Haskin Fort, D.D.S.

• Dental Clinic/Center in Temple, TX
• Providers in Temple, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.