OrganizationActive
Fossil Dental
NPI 1164125456 · Dental Clinic/Center · Live Oak, TX
Fossil Dental is a Dental Clinic/Center organization in Live Oak, TX (NPI 1164125456).
Provider details
- NPI number
- 1164125456
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Walter D. Thames, PLLC
- Organization subpart
- Yes
- Authorized official
- Walter Thames, Owner/Dentist(210) 888-5832
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8142 Shin Oak Dr Ste 100
Live Oak, TX 78233-2775
Phone: (210) 888-5832
Street-level locationGet directions
Mailing address
8142 Shin Oak Dr Ste 100
Live Oak, TX 78233-2775
Other names (DBA / former)
- Doing business as
- Fossil Dental
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2023-03-24
- Certified
- 2023-03-24
Frequently asked questions
- What is Fossil Dental's NPI number?
- Fossil Dental's National Provider Identifier (NPI) is 1164125456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fossil Dental?
- Fossil Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fossil Dental located?
- Fossil Dental's practice location on file with NPPES is 8142 Shin Oak Dr Ste 100, Live Oak, TX 78233-2775.
- What is Fossil Dental's phone number?
- The practice phone number listed in the NPPES registry for Fossil Dental is (210) 888-5832.
- Who is the authorized official for Fossil Dental?
- The authorized official listed on Fossil Dental's NPPES record is Walter Thames, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fossil Dental's NPI active?
- Yes — Fossil Dental's NPI (1164125456) is active in the NPPES registry as of the last update on 2023-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.