Pleasant Grove Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31840 Issued in TX

Legal business name

PLEASANT GROVE FAMILY DENTISTRY

Practice address

4330 McKnight Rd
Texarkana, TX 75503-0923

Phone

(903) 838-9700

Fax

(903) 832-3505

NPI assigned

Aug 2, 2016

Last updated

Aug 2, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

TORIN MARRACINO DDS, INCAs reported in NPPES

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

Authorized official

Name

Dr. Torin Michael Marracino, DDS

Title

Dentist/Owner

Phone

(903) 733-3390

Specialties & licenses 1

Addresses

Part of

Pleasant Grove Family Dentistry

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Nance Cockerell, DDS

  • Dentist
  • Texarkana, TX
  • NPI 1740853274
  NPD (past)
• Milburn Sidney Haynes, D.D.S.

  • General Practice Dentistry
  • Texarkana, TX
  • NPI 1134265234
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1316490832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030923",
            "telephone_number": "903-838-9700",
            "fax_number": "903-832-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030923",
            "telephone_number": "903-838-9700",
            "fax_number": "903-832-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT GROVE FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TORIN MARRACINO DDS, INC",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "MARRACINO",
        "authorized_official_first_name": "TORIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "903-733-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Trenton Pinkham, APRN
• Pinnacle Health Facilities Xxvii LP (Edgewood Manor)
• Lori Marie Pippen, OTR
• Henry J Platt, M.D.
• Kevin Hugh Platt, PA-C
• Pleasant Grove Independent School District
• Pleasant Grove Pharmacy
• Jerry Pool
• Cindy R Porter, MD
• Steven J. Porter, M.D.

• General Practice Dentistry in Texarkana, TX
• Providers in Texarkana, 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 Aug 2, 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.