Imagdent Abilene, LP

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

IMAGDENT ABILENE, LP

Practice address

4400 Buffalo Gap Rd
Ste. 0475
Abilene, TX 79606-2723

Phone

(325) 232-8692

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Bret Royal

Title

Chief Operations Officer

Phone

(210) 404-1215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1831522457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14329 SAN PEDRO AVE",
            "address_2": "STE. C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324388",
            "telephone_number": "210-404-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BUFFALO GAP RD",
            "address_2": "STE. 0475",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062723",
            "telephone_number": "325-232-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGDENT ABILENE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "210-404-1215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tka Hyman
• Connor Alexander Iacomini, DDS
• Bethany W. Ibach, PHARM.D.
• Emah Ikpe
• Chukwuka Ilo
• Imaging Associates of Abilene LLC
• Imperium Consulting, LLC
• Improved Dynamics ABA South West
• Kayce Ince
• Infiniti Speech and Language Therapy

• Dental Laboratory in Abilene, TX
• Providers in Abilene, TX by specialty
• Dental Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.