OrganizationActive
Etx Dental PLLC
NPI 1417729245 · Dental Clinic/Center · Jefferson, TX
Provider details
- NPI number
- 1417729245
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cody Giesler, Owner(903) 796-9051
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
601 N Walnut St
Jefferson, TX 75657-1851
Phone: (903) 665-3914
Street-level locationGet directions
Mailing address
1 Bayou Dr
Atlanta, TX 75551-3402
Registry dates
- Enumerated
- 2023-10-25
- Last updated
- 2023-10-25
- Certified
- 2023-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.