Wandy Connolly, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42004 Issued in TX

Practice address

1307 W Main St Ste a
Gun Barrel City, TX 75156-5405

Phone

(903) 340-8500

NPI assigned

Feb 3, 2025

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gun Barrel Family Dental Care, PLLC

  • General Practice Dentistry
  • Gun Barrel City, TX
  • NPI 1881571701
  NPD

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1487468393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 ROLLING DR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512944",
            "telephone_number": "903-681-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W MAIN ST STE A",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565405",
            "telephone_number": "903-340-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "WANDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Creek Healthcare, PC
• Cedar Creek Wellness Group
• Shawntel Chamberland, PHYSICAL THERAPIST A
• Charles L. Heaton, MD, PA (Heaton Eye Associates)
• Children's Dental Depot PA
• Charles Derick Cooper, NP
• Leslie Crow
• Douglas W Curran, MD
• CVS Pharmacy Inc (CVS Pharmacy 07419)
• Dallas Eye Care Associates PLLC (Dallas Eye Care Associates)

• General Practice Dentistry in Gun Barrel City, TX
• Providers in Gun Barrel City, 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 Sep 23, 2025; 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.