DR. S.E. NOLLEY D.D.S.
NPI 1811082944
Dentist - General Practice in Dallas, TX

Q: What is S.e. Nolley's NPI number?

The NPI number for S.e. Nolley is 1811082944. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is S.e. Nolley's specialty?

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

Q: Is S.e. Nolley enrolled in Medicare?

No. S.e. Nolley has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for S.e. Nolley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 04, 2006Opted out of Medicare · through Feb 18, 2028

3767 FOREST LN, SUITE 103, DALLAS, TX 75244(972) 247-4298(972) 247-4497 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. S.e. Nolley D.d.s. NPPES

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

DR. S.E. NOLLEY D.D.S. (NPI 1811082944) is an individual general practice provider in Dallas, Texas, licensed in Texas (7311) and active in the NPI registry since October 2006. He has opted out of Medicare through February 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811082944

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. S.E. NOLLEYCredential: D.D.S.

Location Address3767 FOREST LN, SUITE 103Dallas, TX 75244-7100

Mailing Address3767 Forest Ln, Suite 103Dallas, TX 75244-7100 · (972) 247-4298 · Fax (972) 247-4497

Phone(972) 247-4298

Fax(972) 247-4497

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811082944 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 · 7311

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.

3767 FOREST LN, Dallas, TX 75244

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. S.e. Nolley D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2016 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2016

Opt-Out In Effect ThroughFebruary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 S.e. Nolley's NPI number?

The NPI number for S.e. Nolley is 1811082944. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is S.e. Nolley located?

S.e. Nolley practices at 3767 Forest Ln Suite 103, Dallas, TX 75244. The listed phone number is (972) 247-4298.

What is S.e. Nolley's specialty?

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

Is S.e. Nolley enrolled in Medicare?

No. S.e. Nolley has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for S.e. Nolley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.