Dentists of Waco, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTISTS OF WACO, PC

Doing business as

Dentists of Waco

Practice address

1115B N Valley Mills Dr
Waco, TX 76710-4425

Phone

(254) 230-0825

NPI assigned

Nov 11, 2019

Last updated

Jun 14, 2022By 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

Joan Thanh to, DMD

Title

Owner

Phone

(254) 230-0825

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Waco Doing business as

Locations

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1912542234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115B N VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104425",
            "telephone_number": "254-230-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF WACO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "THANH TO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-230-0825",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Waco",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of Waco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Megan Denton
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• Heather Marie Derington, D.O.
• Dermatology & Plastic Surgery Association, Inc.
• Amy Leigh Derrick, MSN, APRN, FNP-C

• Dentist in Waco, TX
• Providers in Waco, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.