Nacogdoches Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23695 Issued in TX

Legal business name

NACOGDOCHES DENTAL PLLC

Practice address

4610 North St
Nacogdoches, TX 75965-1840

Phone

(936) 560-0900

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Everett C Evans, DDS

Title

Owner, DDS

Phone

(940) 808-1970

Specialties & licenses 1

Addresses

Practitioners 1

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

• Vineet Sharma, DDS

  • General Practice Dentistry
  • Diboll, TX
  • NPI 1700292026
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1700260957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674330",
            "telephone_number": "940-808-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651840",
            "telephone_number": "936-560-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, DDS",
        "authorized_official_telephone_number": "940-808-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nacogdoches County Hospital District
• Nacogdoches County Hospital District
• Nacogdoches County Hospital District
• Nacogdoches Csnhc Enterprises, LLC
• Nacogdoches Dental Group PLLC
• Nacogdoches Dialysis Center LP
• Nacogdoches Dialysis Center LP
• Nacogdoches Emergency Medicine Associates PA
• Nacogdoches Emergency Medicine Associates, PA
• Nacogdoches Eye Associates, PLLC

• General Practice Dentistry in Nacogdoches, TX
• Providers in Nacogdoches, 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 Jul 17, 2015; 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.