Tyme Square Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25301 Issued in TX

Legal business name

TYME SQUARE DENTAL

Practice address

3440 Riley Fuzzell Rd. Suite 200
Spring, TX 77386

Phone

(718) 614-0328

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Olga Miriam Iglesias, DDS

Title

President

Phone

(718) 614-0328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1598031262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30802 LEGENDS TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863884",
            "telephone_number": "718-614-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 RILEY FUZZELL RD. SUITE 200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77386",
            "telephone_number": "718-614-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYME SQUARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-614-0328",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Anthony Tuschl, PHARM. D.
• Keishon Elise Tutt, PHARMD
• TX Diagnostics Inc
• Tycan Solutions LLC
• Justin R. Tyger, D.C.
• Tymes Health Care
• Tymes Healthcare Company PLLC
• Antoine Tyndale
• Tyneza Mitchell, P.a.
• Ronald Tyrus, M.D.

• General Practice Dentistry in Spring, TX
• Providers in Spring, 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 Mar 28, 2012; 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.