Family & Sedation Dentistry of Texarkana

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

27619 Issued in TX

Legal business name

FAMILY & SEDATION DENTISTRY OF TEXARKANA

Practice address

3201 Richmond Rd Ste 1
Texarkana, TX 75503-0708

Phone

(903) 832-1727

Fax

(903) 832-0797

NPI assigned

Mar 9, 2013

Last updated

Mar 9, 2013By 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

William Darrel Fain

Title

Dentist/President

Phone

(903) 832-1727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362787200000",
    "number": "1477894871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 RICHMOND RD STE 1",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030708",
            "telephone_number": "903-832-1727",
            "fax_number": "903-832-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 RICHMOND RD STE 1",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030708",
            "telephone_number": "903-832-1727",
            "fax_number": "903-832-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & SEDATION DENTISTRY OF TEXARKANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-09",
        "last_updated": "2013-03-09",
        "status": "A",
        "authorized_official_last_name": "FAIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DARREL",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "903-832-1727"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Advocacy Center
• Family Care Home Health, Inc.
• Family Medical Group of Texarkana
• Family Practice of Texarkana PLLC (Texarkana Family Practice PA)
• Fannin County Hospital Authority (Avir at Citizens Trail)

• Dental Clinic/Center in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; 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.