Stonedent PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STONEDENT PLLC

Doing business as

Stonebridge Family Dental

Practice address

581 Pan American Dr Ste 4
Harker Heights, TX 76548-1960

Phone

(254) 680-5551

Fax

(254) 754-0907

NPI assigned

Sep 11, 2019

Last updated

Sep 11, 2019By 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

Wendy AdamoNPI 1891275889

Title

Owner

Phone

(254) 855-9652

Specialties & licenses 1

Addresses

Other names 1

• Stonebridge Family Dental Doing business as

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.

• Wendy Adamo, PT, DPT

  • Physical Therapist
  • Waco, TX
  • NPI 1891275889
  NPD Authorized official
• Joel Kirk Tidwell, D.D.S.

  • General Practice Dentistry
  • Harker Heights, TX
  • NPI 1619099454
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1932758992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 WOLF CREEK DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128738",
            "telephone_number": "254-855-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 PAN AMERICAN DR STE 4",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481960",
            "telephone_number": "254-680-5551",
            "fax_number": "254-754-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEDENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "ADAMO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-855-9652"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebridge Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayla Steward
• Stacey Stewart
• Amber Stone
• Cameron Barrett Stone, PHARMD
• Sonia Stone
• Stonehaven Dental-Harker Heights (Stonehaven Dental)
• Sarani Stroh
• Shaley Stults
• Kishana Stultz
• Supreme Beauty 4 Inc

• Dental Clinic/Center in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.