Theodore D. Novak III, DDS

Dentist · Palestine, TX

Individual Active NPI

NPI number 1073205258

Practice location

419 Old Elkhart Rd Ste 110
Palestine, TX 75801-6047
Phone
(903) 723-4669

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NPI record

NPI
1073205258
Entity type
Individual (Type 1)
Enumeration date
May 24, 2023
Last updated
November 14, 2024
Certified
November 14, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 41113 TX
Dentist 122300000X 110457 CA

Mailing address

5800 N Interstate 35 Ste 205
Denton, TX 76207-1438
Phone
(940) 220-7833

About Dr. Novak

Theodore D. Novak III, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 419 Old Elkhart Rd Ste 110, Palestine, TX 75801-6047. The NPI number 1073205258 was assigned on May 24, 2023 and the record was last updated on November 14, 2024.

Dr. Novak lists 2 licenses in the registry: #41113 (TX) for Dentist; #110457 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore D. Novak III, DDS?

The NPI number is 1073205258.

What is the phone number of Dr. Novak?

The phone number listed for the practice location is (903) 723-4669.

Where is Dr. Novak located?

419 Old Elkhart Rd Ste 110, Palestine, TX 75801-6047.

What is the taxonomy code for Dr. Novak?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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