NPI age
3 years
Enumerated 2023-03-24
● Active Type 2 · Organization
Subpart
Fossil Dental
Fossil Dental is 1 of 1762 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thames
Owner/dentist
Last NPPES update
2023-03-24
Source: monthly bulk 2026-05
How this organization compares
Across 1762 active clinic/center providers in Texas.
NPI age
3 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-03Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
8142 Shin Oak Dr Ste 100
Live Oak, TX 782332775
Mailing address
8142 Shin Oak Dr Ste 100
Live Oak, TX 782332775
Authorized official
Walter D Thames, DDS, MS
Owner/dentist
📞 2108885832
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Fossil Dental
Practice context
Single-site organization. Only one practice location on file.
Subpart of Walter D. Thames, Pllc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.