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STEPHENVILLE DENTAL, PLLC
NPI 1548643786
Dentist - General Practice in Stephenville, TX

Active since July 07, 2015
100 WOLFE NURSERY RD, 180, STEPHENVILLE, TX 76401(254) 965-1931 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephenville Dental, Pllc NPPES

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

STEPHENVILLE DENTAL, PLLC (NPI 1548643786) is a healthcare organization registered as a general practice in Stephenville, Texas and active in the NPI registry since July 2015. The organization lists Everett C Evans, Dds, Owner, as its authorized official.

NPPES Registry Identity

NPI1548643786
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTEPHENVILLE DENTAL, PLLC
Location Address100 WOLFE NURSERY RD, 180Stephenville, TX 76401-3731
Mailing Address3600 E Mckinney St, 100Denton, TX 76209-7557 · (940) 808-1970
Phone(254) 965-1931
Organization SubpartNo
Authorized OfficialEverett C EvansDds, Owner · (940) 808-1970
Enumeration DateJuly 7, 2015
✔ NPI 1548643786 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 · 23695
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.

100 WOLFE NURSERY RD, Stephenville, TX 76401
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2168093

Stephenville Medical & Surgical Clinic, PA · Stephenville, TX
Active · expires Jun 19, 2027
CLIA Number45D2168093
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorJeffrey Moore
Laboratory Phone(254) 968-6051
Laboratory LocationStephenville Medical & Surgical Clinic, PA160 River North Blvd, Stephenville, TX 76401
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0487857

Stephenville Medical & Surgical Clinic · Stephenville, TX
Active · expires Apr 18, 2027
CLIA Number45D0487857
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorJeffery Moore
Laboratory Phone(254) 968-6051
Laboratory LocationStephenville Medical & Surgical Clinic150 River North Blvd, Stephenville, TX 76401
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D2320795

Stephenville Fire Department Cares · Stephenville, TX
Active · expires Mar 23, 2027
CLIA Number45D2320795
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorTyler B. Helton
Laboratory Phone(254) 918-1210
Laboratory LocationStephenville Fire Department Cares1301 Peacan Hill Dr, Stephenville, TX 76401
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D0680518

Stephenville Nursing Home · Stephenville, TX
Active · expires Nov 18, 2026
CLIA Number45D0680518
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorGayle Abels
Laboratory Phone(254) 968-3313
Laboratory LocationStephenville Nursing Home2311 W Washington Street, Stephenville, TX 76401
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1025491

Stephenville Fire Department · Stephenville, TX
Expired · May 9, 2026
CLIA Number45D1025491
Laboratory TypeAmbulance
Certificate Effective DateMay 10, 2024
Certificate Expiration DateMay 9, 2026
Laboratory DirectorJimmy D. Chew
Laboratory Phone(254) 918-1277
Laboratory LocationStephenville Fire Department356 N Belknap Street, Stephenville, TX 76401
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0860928

Stephenville Rural Health Clinic · Stephenville, TX
Expired · Oct 29, 2025
CLIA Number45D0860928
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 30, 2023
Certificate Expiration DateOctober 29, 2025
Laboratory DirectorBenjamin A. Marcum
Laboratory Phone(254) 965-2500
Laboratory LocationStephenville Rural Health Clinic160 River North Blvd, Stephenville, TX 76401
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SMILE DESIGN PC
Dentist (General Practice)
100 WOLFE NURSERY RD, STE 190
STEPHENVILLE, TX 76401
Erath County (617) 281-7947
SAMEER MEHTA
Dentist (General Practice)
100 WOLFE NURSERY RD, 180
STEPHENVILLE, TX 76401
Erath County (254) 965-1931
ANKITA BANSAL
Dentist (General Practice)
100 WOLFE NURSERY RD, 190
STEPHENVILLE, TX 76401
Erath County (484) 431-9143
DR. ROBERT LANE REEDY DDS
Dentist
100 WOLFE NURSERY RD, STE 180
STEPHENVILLE, TX 76401
Erath County (254) 965-1931

Frequently Asked Questions

What is STEPHENVILLE DENTAL, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1548643786, enumerated as an "organization" on July 07, 2015.

Where is the provider located?

The provider is located at 100 WOLFE NURSERY RD 180 STEPHENVILLE, TX 76401 and the phone number is (254) 965-1931.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does STEPHENVILLE DENTAL, PLLC accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.