NPIMap

Organization Active NPI

Stone Creek Dental PLLC

  • Dentist
  • Denton, TX
National Provider Identifier
1891973111
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18962 Issued in TX
Legal business name
STONE CREEK DENTAL PLLC
Practice address
2430 S I-35 E Ste 178
Denton, TX 76205-4944
Phone
(940) 891-0389
Fax
(940) 891-0534
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. William R Jennings Jr., DDSNPI 1902829070
Title
Doctor/Owner
Phone
(940) 206-8956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18962 TX Primary

Addresses

Primary practice location

2430 S I-35 E Ste 178
Denton, TX 76205-4944

Mailing address

2002 S Stemmons Fwy Ste 500
Lake Dallas, TX 75065-3633
Phone (940) 321-2053

National Provider Directory

National Provider Directory

Locations

2430 S Interstate 35 E
Ste 178
Denton, TX 76205
Phone (940) 565-0223

2002 S Stemmons Fwy
Ste 500
Lake Dallas, TX 75065

Practitioners & affiliated clinicians

Practitioners 6

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1891973111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S STEMMONS FWY STE 500",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653633",
            "telephone_number": "940-321-2053",
            "fax_number": "940-321-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 S I-35 E STE 178",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054944",
            "telephone_number": "940-891-0389",
            "fax_number": "940-891-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "940-206-8956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.