Active NPI
Jorge Anibal Laguna Sandoval, DMD
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1629819404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42173
- Practice address
- 8611 Hillcrest Ave Ste 215
Dallas, TX 75225-4228 - Phone
- (214) 361-3550
- NPI assigned
- Jun 4, 2024
- Last updated
- Apr 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7835 | OK | |
| General Practice Dentistry | 1223G0001X | 42173 | TX | Primary |
Addresses
Primary practice location
8611 Hillcrest Ave Ste 215
Dallas, TX 75225-4228
Mailing address
8611 Hillcrest Ave Ste 215
Dallas, TX 75225-4228
Phone (214) 361-3550
Other practice location 1
7811 E 71st St Ste B
Tulsa, OK 74133-2992
Phone (918) 878-7803
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | website | Direct | Woodland Dentistry and Braces |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7835 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Dentistry and Braces | Current | Accepting new patients |
Locations
7811 E 71st St
Ste B
Tulsa, OK 74133
Phone (918) 878-7803
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Tulsa, OK
- NPI 1376118307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1629819404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8611 HILLCREST AVE STE 215",
"city": "DALLAS",
"state": "TX",
"postal_code": "752254228",
"telephone_number": "214-361-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8611 HILLCREST AVE STE 215",
"city": "DALLAS",
"state": "TX",
"postal_code": "752254228",
"telephone_number": "214-361-3550"
}
],
"practiceLocations": [
{
"address_1": "7811 E 71st St Ste B",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741332992",
"country_code": "US",
"telephone_number": "918-878-7803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAGUNA SANDOVAL",
"first_name": "JORGE",
"middle_name": "ANIBAL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-04",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7835",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "42173",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "website",
"affiliation": "Y",
"endpointDescription": "Website",
"affiliationName": "Woodland Dentistry and Braces",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7811 E 71st Street South",
"address_2": "Ste B",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "74133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.