Trinity Valley Oral Surgery & Dental Implant Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19017 Issued in TX

Legal business name

TRINITY VALLEY ORAL SURGERY & DENTAL IMPLANT CENTER

Practice address

215 S. FM 548
Suite C
Forney, TX 75126

Phone

(469) 689-0704

Fax

(469) 689-0709

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Ralph Phillips, MD

Title

Owner

Phone

(469) 689-0704

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas K. W. Draper, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Forney, TX
  • NPI 1306018320
  NPD (past)
• Reed P Gibbins, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Forney, TX
  • NPI 1851566988
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1912185703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S. FM 548",
            "address_2": "SUITE C",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "469-689-0704",
            "fax_number": "469-689-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S. FM 548",
            "address_2": "SUITE C",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "469-689-0704",
            "fax_number": "469-689-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY VALLEY ORAL SURGERY & DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-689-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225036759",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann Tipps
• Holly Michelle Tomic, RN, IBCLC
• Touch of Harmony Home Health Incorporated
• Joey Duc Tran, O.D
• Trinity Assessment & Psychological Services
• Tripple Kare Hydration & Wellness Clinic LLC
• Truecare Home Health Agency LLC
• Truecare Hospice Services LLC
• Omah S Tsikada, PMHNP
• Asia Tubbs

• Oral and Maxillofacial Surgery (Dentist) in Forney, TX
• Providers in Forney, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.