Plaque Panther Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PLAQUE PANTHER DENTISTRY, PLLC

Practice address

201 County Road 138 # 204
Hutto, TX 78634-5180

Phone

(512) 569-8067

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Devon Jarrod Harris, DDSNPI 1144706276

Title

Ceo/Owner

Phone

(512) 569-8067

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devon Jarrod Harris, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1144706276
  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1962264655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18916 ELK HORN DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606083",
            "telephone_number": "512-569-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COUNTY ROAD 138 # 204",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345180",
            "telephone_number": "512-569-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAQUE PANTHER DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "JARROD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "512-569-8067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmelia C Petch, PA-C
• Christian Alan Petite
• Nicholas Phan, RPH
• Lara Michelle Phelps, LVN
• Pamela Lynn Pierce, FNP-BC
• Lilibet Plutin Hernandez
• Prestigious Guidance Services, PLLC
• Quadrant Medical Supply LLC
• Quadrant Medical Supply LLC
• Jennifer Rasmussen, MS, LPC, RPT

• All providers in Hutto, TX
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.