Dale Bryan Countryman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27989 Issued in TX

Practice address

340 Coit Rd Ste 500
Plano, TX 75075-5731

Phone

(972) 231-2576

NPI assigned

Jul 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Countryman Dentistry, LLC

  • Dental Clinic/Center
  • Plano, TX
  • NPI 1326564295
  NPD Authorized official

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1417203407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COIT RD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755731",
            "telephone_number": "972-231-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COIT RD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755731",
            "telephone_number": "972-231-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5757 W Lovers Ln Ste 109",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752097115",
            "country_code": "US",
            "telephone_number": "214-227-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUNTRYMAN",
        "first_name": "DALE",
        "middle_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Cottrell, DC
• Zaria Cottrell
• Michael Wesley Council
• Counseling for Hope
• Countryman Dentistry, LLC
• Leslie Yuliana Couoh
• Courage Pharmacy LLC
• Elinor Courson
• Courtney G. Trylovich, M.D., P.a.
• Samantha Jean Courtney, MS, RDN, LD

• General Practice Dentistry in Plano, TX
• Providers in Plano, 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 Mar 23, 2022; 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.