Picasso Dental and Orthodontics PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PICASSO DENTAL AND ORTHODONTICS PLLC

Doing business as

Picasso Dental and Orthodontics

Practice address

324 North Highway 175
Seagoville, TX 75159

Phone

(972) 791-8795

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Picasso Dental and Orthodontics Doing business as

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1447708144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 NORTH HIGHWAY 175",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "75159",
            "telephone_number": "972-791-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 NORTH HIGHWAY 175",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "75159",
            "telephone_number": "972-791-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICASSO DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Picasso Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Christian Nunn
• Dawn Valentina Oberst, N.P.
• Marceline Oscar, BSN, RN
• Amy Lynn Parrish, RPH
• Marcus Dewon Pearson Sr.
• Francisco Ismael Ponce Jr., PHARM D
• Courtney Porter, RCPHT
• Project Camp
• Shalet Regi, FNP-BC
• Robin Cecile Richardson

• Dentist in Seagoville, TX
• Providers in Seagoville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.