Rosenberg Dental and Implant Center

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ROSENBERG DENTAL AND IMPLANT CENTER

Doing business as

Samuel D Collins MBR

Practice address

2818 Avenue I
Rosenberg, TX 77471-3622

Phone

(281) 341-6680

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Collins, DDSNPI 1447294996

Title

Doctor

Phone

(281) 341-6680

Specialties & licenses 1

Addresses

Other names 1

• Samuel D Collins MBR Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Deon Collins, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Manvel, TX
  • NPI 1447294996
  NPD Authorized official
• Mark Wayne Holloway, DDS

  • Dentist
  • Rosenberg, TX
  • NPI 1043322472
  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1710672209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 AVENUE I",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713622",
            "telephone_number": "281-341-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 AVENUE I",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713622",
            "telephone_number": "281-341-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBERG DENTAL AND IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-341-6680",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samuel D Collins MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Roncal
• Rone'-O, Inc
• Roots Reboot
• Rosaam Integrated Services LLC
• Rosenberg Children's Dentistry, P.C. (May Tape)
• Rosenberg Dental Group
• Rosenberg Family Dental Care, PLLC
• Rosenberg Family Smiles PLLC (Rosenberg Family Smiles)
• Rosenberg Family Smiles PLLC (Rosenberg Family Smiles)
• Rosenberg Health & Rehabilitation Center, L.P. (Rosenberg Health & Rehabilitation Center)

• Oral and Maxillofacial Surgery Clinic/Center in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.