Provider Demographics
NPI:1417078205
Name:DAVID E SEARS, DDS
Entity Type:Organization
Organization Name:DAVID E SEARS, DDS
Other - Org Name:HENRIETTA FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:MS
Authorized Official - First Name:DONDI
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-538-4201
Mailing Address - Street 1:116 S ARCHER ST
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:TX
Mailing Address - Zip Code:76365-2746
Mailing Address - Country:US
Mailing Address - Phone:940-538-4201
Mailing Address - Fax:940-538-6175
Practice Address - Street 1:116 S ARCHER ST
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:TX
Practice Address - Zip Code:76365-2746
Practice Address - Country:US
Practice Address - Phone:940-538-4201
Practice Address - Fax:940-538-6175
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID E. SEARS, D.D.S.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-02
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0911562-01Medicaid