Aggieland Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15745 Issued in TX

Legal business name

AGGIELAND DENTAL ASSOCIATES, PC

Practice address

2700 Earl Rudder Frwy S
Suite 1900
College Station, TX 77845-5032

Phone

(979) 696-4511

NPI assigned

May 3, 2007

Last updated

Aug 22, 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. Roxane G Mlcak-Spence

Title

VP

Phone

(979) 696-4511

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Roxane G Mlcak, DDS

  • General Practice Dentistry
  • College Station, TX
  • NPI 1780806455
  NPD (past)
• Kenneth R Spence, DDS

  • General Practice Dentistry
  • College Station, TX
  • NPI 1578765582
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407078892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 EARL RUDDER FRWY S",
            "address_2": "SUITE 1900",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455032",
            "telephone_number": "979-696-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EARL RUDDER FRWY S",
            "address_2": "SUITE 1900",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455032",
            "telephone_number": "979-696-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGIELAND DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MLCAK-SPENCE",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "979-696-4511",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "82D692",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Astha Agarwal, M.D.
• Sachin Agarwal, M.D.
• Aggieland Autism Center, LLC
• Aggieland Caregiving Company LLC (CareCo - The Caregiving Company)
• Aggieland Chiropractic & Wellness Center PC
• Aggieland Eyecare
• Aggieland Orthodontics
• Aggieland Pregnancy Outreach, Inc.
• Aggieland Urgent Care PLLC
• Sara Agold, RD, LD

• General Practice Dentistry in College Station, TX
• Providers in College Station, 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 22, 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.