Organization Active NPI

G. Stan Preece, DDS

  • Pediatric Dentistry
  • Keller, TX
National Provider Identifier
1740426659
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
17828 Issued in TX
Legal business name
G. STAN PREECE, DDS
Practice address
4100 Heritage Trace Pkwy
Suite 100
Keller, TX 76248-1306
Phone
(817) 741-6100
Fax
(817) 741-3686
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. George Stanley Preece, DDS
Title
Owner
Phone
(817) 741-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 17828 TX Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 22241 TX

Addresses

Primary practice location

4100 Heritage Trace Pkwy
Suite 100
Keller, TX 76248-1306

Mailing address

4100 Heritage Trace Pkwy
Suite 100
Keller, TX 76248-1306
Phone (817) 741-6100

National Provider Directory

National Provider Directory

Locations

4100 Heritage Trace Pkwy
Ste 100
Fort Worth, TX 76244
Phone (817) 741-6100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1740426659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE TRACE PKWY",
            "address_2": "SUITE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481306",
            "telephone_number": "817-741-6100",
            "fax_number": "817-741-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE TRACE PKWY",
            "address_2": "SUITE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481306",
            "telephone_number": "817-741-6100",
            "fax_number": "817-741-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. STAN PREECE, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-741-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "17828",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.