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FOSSIL DENTAL
NPI 1164125456
Clinic/Center - Dental in Live Oak, TX

Active since March 24, 2023
8142 SHIN OAK DR STE 100, LIVE OAK, TX 78233(210) 888-5832 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fossil Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOSSIL DENTAL (NPI 1164125456) is a healthcare organization registered as a dental in Live Oak, Texas and active in the NPI registry since March 2023. The organization lists Walter D Thames, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1164125456
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFOSSIL DENTAL
Location Address8142 SHIN OAK DR STE 100Live Oak, TX 78233-2775
Mailing Address8142 Shin Oak Dr Ste 100Live Oak, TX 78233-2775 · (210) 888-5832
Phone(210) 888-5832
Organization SubpartYesParent: Walter D. Thames, Pllc
Authorized OfficialWalter D ThamesOwner/dentist · (210) 888-5832
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1164125456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
8142 SHIN OAK DR STE 100, Live Oak, TX 78233
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Other Names 1

Doing Business AsFossil Dental

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HVL DENTISTRY PLLC
Clinic/Center (Dental)
8142 SHIN OAK DR STE 100
LIVE OAK, TX 78233
Bexar County (210) 764-3008
SP DENTAL GROUP PLLC
Dentist (General Practice)
8142 SHIN OAK DR STE 100
LIVE OAK, TX 78233
Bexar County (917) 912-3562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fossil Dental's NPI number?

The NPI number for Fossil Dental is 1164125456. It was assigned to this organization in the NPPES registry on March 24, 2023.

Where is Fossil Dental located?

Fossil Dental is located at 8142 Shin Oak Dr Ste 100, Live Oak, TX 78233. The listed phone number is (210) 888-5832.

What is Fossil Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fossil Dental was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.