Nancy Villanueva Cabansag, D.D.S.
Individual provider Active NPI Dentist · Burleson, TX
NPI 1902020506 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1902020506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 20693 (TX)
- Practice address
- 699 NE Alsbury Blvd
Burleson, TX 76028-2660 - Phone
- (817) 295-3070
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20693 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alsbury Dental | Past | Accepting new patients | |
| Alsbury and Lifeway Dental PLLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20693 | TX | Yes |
Addresses
Primary practice location
699 NE Alsbury Blvd
Burleson, TX 76028-2660
Mailing address
5519 Vicksburg Dr
Arlington, TX 76017-5988
Phone (817) 478-1826
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.