SDS-BILL OWENS PKWY PLLC
NPI 1801301643
Dentist - General Practice in Longview, TX

Active since December 01, 2017
2840 BILL OWENS PKWY STE B, LONGVIEW, TX 75605(903) 759-2261 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sds-bill Owens Pkwy Pllc NPPES

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

SDS-BILL OWENS PKWY PLLC (NPI 1801301643) is a healthcare organization registered as a general practice in Longview, Texas and active in the NPI registry since December 2017. The organization lists Samuel Christopher Mack, Manager, as its authorized official.

NPPES Registry Identity

NPI1801301643
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSDS-BILL OWENS PKWY PLLC
Location Address2840 BILL OWENS PKWY STE BLongview, TX 75605-2150
Mailing Address2840 Bill Owens Pkwy Ste BLongview, TX 75605-2150 · (903) 759-2261
Organization SubpartNo
Authorized OfficialSamuel Christopher MackManager · (903) 236-4050
Enumeration DateDecember 1, 2017
NPI 1801301643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 13770 Licensed in TX · 32168
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.
2840 BILL OWENS PKWY STE B, Longview, TX 75605

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

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.

Clinic/Center (Dental)
2840 BILL OWENS PKWY STE B
LONGVIEW, TX 75605
Dentist
2840 BILL OWENS PKWY STE B
LONGVIEW, TX 75605

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 Sds-Bill Owens Pkwy PLLC's NPI number?

The NPI number for Sds-Bill Owens Pkwy PLLC is 1801301643. It was assigned to this organization in the NPPES registry on December 1, 2017.

Where is Sds-Bill Owens Pkwy PLLC located?

Sds-Bill Owens Pkwy PLLC is located at 2840 Bill Owens Pkwy Ste B, Longview, TX 75605. The listed phone number is (903) 759-2261.

What is Sds-Bill Owens Pkwy PLLC'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 Sds-Bill Owens Pkwy PLLC was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.