Wharton Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17052 Issued in TX

Legal business name

WHARTON DENTAL, INC

Practice address

1802 N Richmond Rd
Wharton, TX 77488-2715

Phone

(979) 532-1920

Fax

(979) 532-0630

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Phil Tiet, D.D.S.NPI 1477513869

Title

President

Phone

(979) 532-1920

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Phil Tiet, D.D.S.

  • General Practice Dentistry
  • Wharton, TX
  • NPI 1477513869

  General Practice

  NPD (past) Authorized official
• Monica Ann Gerges, DDS

  • Dentist
  • Wharton, TX
  • NPI 1811508740
  NPD (past)
• Fadi Philip Haikal, DDS

  • Dentist
  • Wharton, TX
  • NPI 1467768887
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1437336971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N RICHMOND RD",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774882715",
            "telephone_number": "979-532-1920",
            "fax_number": "979-532-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N RICHMOND RD",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774882715",
            "telephone_number": "979-532-1920",
            "fax_number": "979-532-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHARTON DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "TIET",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-532-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477513869",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arnold Wallace
• Cher Christina Watson, R.D., L.D.
• Willie Ray Welch, L.C.S.W
• Wharton Assisted Living, LTD.
• Wharton Chiropractic
• Wharton Dialysis Care LLP
• Wharton Dialysis, Inc.
• Wharton Emergency Medicine Associates PA
• Wharton Emergency Medicine Associates, PA
• Wharton Eye Associates PA

• All providers in Wharton, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.