1. Home
  2. Directory
  3. Texas
  4. College Station
  5. Dentist
  6. NPI Profile

AGGIELAND DENTAL ASSOCIATES, PC
NPI 1407078892
Dentist - General Practice in College Station, TX

Active since May 03, 2007
2700 EARL RUDDER FRWY S, SUITE 1900, COLLEGE STATION, TX 77845(979) 696-4511 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aggieland Dental Associates, Pc NPPES

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

AGGIELAND DENTAL ASSOCIATES, PC (NPI 1407078892) is a healthcare organization registered as a general practice in College Station, Texas and active in the NPI registry since May 2007. The organization lists Roxane G Mlcak-spence, Vp, as its authorized official.

NPPES Registry Identity

NPI1407078892
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAGGIELAND DENTAL ASSOCIATES, PC
Location Address2700 EARL RUDDER FRWY S, SUITE 1900College Station, TX 77845-5032
Mailing Address2700 Earl Rudder Frwy S, Suite 1900College Station, TX 77845-5032 · (979) 696-4511
Phone(979) 696-4511
Organization SubpartNo
Authorized OfficialRoxane G Mlcak-spenceVp · (979) 696-4511
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407078892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 15745
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2700 EARL RUDDER FRWY S, College Station, TX 77845
Open in Google Maps ↗

Other Identifiers 1

Other82D692TX · Bcbs Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Aggieland Dental Associates, PC's NPI number?

The NPI number for Aggieland Dental Associates, PC is 1407078892. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Aggieland Dental Associates, PC located?

Aggieland Dental Associates, PC is located at 2700 Earl Rudder Frwy S Suite 1900, College Station, TX 77845. The listed phone number is (979) 696-4511.

What is Aggieland Dental Associates, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Aggieland Dental Associates, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.