Rockwall Family Dentistry P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19044 Issued in TX

Legal business name

ROCKWALL FAMILY DENTISTRY P.A.

Practice address

3084 N. Goliad St.
124
Rockwall, TX 75087-7049

Phone

(972) 772-4000

Fax

(972) 772-4011

NPI assigned

Jul 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline T. Nguyen, D.D.S

Title

Partner

Phone

(972) 772-4000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1821300567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 N. GOLIAD ST.",
            "address_2": "124",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75087",
            "telephone_number": "972-772-4000",
            "fax_number": "972-772-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 N. GOLIAD ST.",
            "address_2": "124",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877049",
            "telephone_number": "972-772-4000",
            "fax_number": "972-772-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL FAMILY DENTISTRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-772-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19044",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockwall Dental Professionals
• Rockwall Dermatology PLLC
• Rockwall Diagnostic Imaging, LTD
• Rockwall Elite Healthcare PLLC
• Rockwall Family Dentistry and Orthodontics PLLC
• Rockwall Family Medicine
• Rockwall Family Medicine Associates, PA
• Rockwall Family Smiles PLLC
• Rockwall First Assist, LLC
• Rockwall Grace Center for Family & Community Development

• General Practice Dentistry in Rockwall, TX
• Providers in Rockwall, 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 10, 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.