Active NPI
Temple Total Dental and Orthodontics PLLC
- Dentist
- Temple, TX
National Provider Identifier
1780193953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- TEMPLE TOTAL DENTAL AND ORTHODONTICS PLLC
- Practice address
- 3550 S General Bruce Dr Ste 103D
Temple, TX 76504-5138 - Phone
- (972) 869-3789
- NPI assigned
- Sep 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paola Ramos
- Title
- Credentialing Team Lead
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
3550 S General Bruce Dr Ste 103D
Temple, TX 76504-5138
Mailing address
PO Box 734753
Dallas, TX 75373-4755
Phone (972) 869-3789
National Provider Directory
National Provider DirectoryLocations
3550 S General Bruce Dr
Ste 103D
Temple, TX 76504
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": "1505865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1780193953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734753",
"city": "DALLAS",
"state": "TX",
"postal_code": "753734755",
"telephone_number": "972-869-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 S GENERAL BRUCE DR STE 103D",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765045138",
"telephone_number": "972-869-3789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE TOTAL DENTAL AND ORTHODONTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-20",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "PAOLA",
"authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.