Garland Oral Surgery & Dental Implant Center, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19017 Issued in TX

Legal business name

GARLAND ORAL SURGERY & DENTAL IMPLANT CENTER, P.A.

Practice address

2910 Broadway Blvd
Ste. 201
Garland, TX 75041-3764

Phone

(972) 271-6528

Fax

(972) 271-6529

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. William R Phillips III, DDS, MD

Title

Owner

Phone

(214) 528-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Richard Travis Tiner, D.D.S., M.S.D.

  • Oral and Maxillofacial Pathology Dentistry
  • Garland, TX
  • NPI 1689765315
  NPD (past)

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1356739528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BROADWAY BLVD",
            "address_2": "STE. 201",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413764",
            "telephone_number": "972-271-6528",
            "fax_number": "972-271-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BROADWAY BLVD",
            "address_2": "STE. 201",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413764",
            "telephone_number": "972-271-6528",
            "fax_number": "972-271-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND ORAL SURGERY & DENTAL IMPLANT CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-528-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garland Kids Clinic LLC
• Garland Main Dental Group PA
• Garland Neurological Clinic PA
• Garland Nursing and Rehabilitation LP
• Garland Operations, LLC
• Garland Orthodontics,PC
• Garland Pediatric Dental Clinic
• Garland Pediatric Dentistry
• Garland Physical Medicine Center
• Garland Psychological Center

• Dental Clinic/Center in Garland, TX
• Providers in Garland, 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 Dec 22, 2014; 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.