1215 Thomasville Garland Professional PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

1215 THOMASVILLE GARLAND PROFESSIONAL PLLC

Practice address

1215 Thomasville
Garland, TX 75044-3478

Phone

(972) 494-0004

Fax

(972) 414-3765

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By 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

Shawna Garcia

Title

Director of Operations

Phone

(214) 938-3749

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1376005322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 THOMASVILLE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750443478",
            "telephone_number": "972-494-0004",
            "fax_number": "972-414-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 THOMASVILLE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750443478",
            "telephone_number": "972-494-0004",
            "fax_number": "972-414-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1215 THOMASVILLE GARLAND PROFESSIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "214-938-3749"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Garland, TX
• Providers in Garland, 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 Apr 1, 2019; 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.