Vidor Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VIDOR DENTAL PLLC

Practice address

970 N Main St Ste 200
Vidor, TX 77662-4338

Phone

(936) 526-2500

NPI assigned

Sep 18, 2019

Last updated

May 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vineet Sharma, DDSNPI 1700292026

Title

Owner

Phone

(541) 378-7928

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Vineet Sharma, DDS

  • General Practice Dentistry
  • Diboll, TX
  • NPI 1700292026
  Authorized official Same address or phone

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1326698606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N MAIN ST STE 200",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776624338",
            "telephone_number": "936-526-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N MAIN ST STE 200",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776624338",
            "telephone_number": "936-526-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDOR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "VINEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-378-7928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "30165",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tyler County Hospital District (Oakwood Manor Nursing Home)
• Urgent Care of Vidor
• Vidor Community Health Clinic Inc
• Vidor Isd
• Vidor Manor Inc (Legacy Living Centers)
• Vidor Manor Nursing Home Inc (Legacy Living Centers)
• Vidor Tso PA
• Wal-Mart Stores Texas LLC

• General Practice Dentistry in Vidor, TX
• Providers in Vidor, 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 May 14, 2020; 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.