Comfort Dental Centre Galloway

Primary specialty

DentistTaxonomy code 122300000X

License

13654 Issued in TX

Legal business name

COMFORT DENTAL CENTRE GALLOWAY

Practice address

2929 N Galloway Ave Ste 116
Mesquite, TX 75150-4800

Phone

(972) 681-2500

Fax

(972) 681-2501

NPI assigned

May 21, 2008

Last updated

May 21, 2008By 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

Thelruth Shaw

Title

Office Manager

Phone

(214) 398-1234

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1467619064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N GALLOWAY AVE STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504800",
            "telephone_number": "972-681-2500",
            "fax_number": "972-681-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N GALLOWAY AVE STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504800",
            "telephone_number": "972-681-2500",
            "fax_number": "972-681-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL CENTRE GALLOWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "THELRUTH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-398-1234"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "13654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090281902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shon Coleman
• Stephanie Ann Coleman
• Dexter Collins
• Scharla Rusk Collins, DDS
• Jose Luis Colon Jr.
• Comfort Dental Centre Mesquite
• Comfort Dental Clay Mathis PLLC
• Comfort Dental Clay Mathis, PLLC
• Community Awareness Center (Legacy Minds and Cognitive Wellness)
• Community Infectious Diseases, P.a.

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

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