Whiteface Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WHITEFACE DENTAL PLLC

Practice address

1300 W Park Ave
Hereford, TX 79045-3821

Phone

(806) 364-1340

NPI assigned

Jun 9, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Woods, DDSNPI 1538720446

Title

Owner

Phone

(830) 377-7050

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Woods, DDS

  • Dentist
  • Dimmitt, TX
  • NPI 1538720446
  NPD Authorized official
• Brandon Dakota O'Neal, DDS

  • General Practice Dentistry
  • Hereford, TX
  • NPI 1235020264
  NPD
• Stanley Alan Fry Jr., D.D.S.

  • General Practice Dentistry
  • Hereford, TX
  • NPI 1548289572
  NPD (past)

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1689568123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W PARK AVE",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790453821",
            "telephone_number": "806-364-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W PARK AVE",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790453821",
            "telephone_number": "806-364-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEFACE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-377-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LP
• Walcott Isd
• Dori Lyn Wasmundt, PAC
• Sean Daryl Wengroff, MD
• Michelle Lynn Williams, FNP
• Vanessa Yardley, CRNA
• Monica Zepeda, LVN

• Dental Clinic/Center in Hereford, TX
• Providers in Hereford, 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 Jun 9, 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.