KO DENTAL GROUP, PC (NPI# 1053911396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053911396 |
| Entity Type | Organization |
| Organization Name | KO DENTAL GROUP, PC |
| Practice Address |
302 S. Avenue Q Clifton TX 76634 |
| Practice Telephone | 2546753518 |
| Practice Fax Number | 2546751262 |
| Mailing Telephone | 2546753518 |
| Mailing Fax Number | 2546751262 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | DR. SCOTT ANDREW KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 2546753518 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dynamic Family Dentistry | Doing Business As Name - Organization |
| Street Address |
302 S. AVENUE Q |
| City | CLIFTON |
| State | TX |
| Zip Code | 76634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720626336 | Chelsie Guinn | Pharmacist | 900 Fm 3200, Clifton, TX 76634 | 2019-12-13 |
| 1396872651 | Lutheran Sunset Ministries | Hospice Care, Community Based | 113 S. Ave D, Clifton, TX 76634 | 2007-02-27 |
| 1396813028 | Lutheran Sunset Ministries | Skilled Nursing Facility | 1800 West 9th, Clifton, TX 76634 | 2006-12-01 |
| 1043214059 | Dee Anna Walker | Dentist | 302 South Avenue Q, Clifton, TX 76634 | 2005-06-08 |
| 1487136818 | Melissa Daniell | Physical Therapy Assistant | 1000 Fm 3220, Clifton, TX 76634 | 2018-09-01 |
| 1982115739 | Pillsbury Counseling Pllc | Social Worker | 101 Posey Ave, Clifton, TX 76634 | 2017-10-19 |
| 1376664847 | Robert Lance Urbanovsky | Chiropractor | 202 N Ave G, Clifton, TX 76634-0384 | 2007-04-03 |
| 1205032919 | Debra Kay Elwell | Nurse Practitioner | 101 S. Ave T, Clifton, TX 76634-0549 | 2007-06-21 |
| 1376861476 | Barbara D Weir | Nurse Practitioner | 201 S. Avenue T, Clifton, TX 76634-0855 | 2010-05-13 |
| 1558434886 | Brookshire Grocery Company | Pharmacy | 900 Fm 3220, Attention Pharmacy Dept, Clifton, TX 76634-1000 | 2006-11-16 |
| Find all providers in zip 76634 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376101345 | Noeli Minaya Pereyra | Dentist | 296 Clifton Ave Ste 1, Clifton, NJ 07011-2223 | 2019-06-04 |
| 1285048033 | Mahesh Limbani | Dentist | 1240 Main Ave, Clifton, NJ 07011-2262 | 2014-06-19 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1598010639 | Duy T Do | Dentist | 100 Hepburn Rd, #12j, Clifton, NJ 07012-2230 | 2012-07-15 |
| 1265711246 | Rada Meytin | Dentist | 1149 Bloomfield Ave Ste A, Clifton, NJ 07012-2314 | 2011-08-09 |
| 1215215264 | Serag Ibrahim Khamis | Dentist | 301 Hazel St, Clifton, NJ 07011-2812 | 2011-07-25 |
| 1629360672 | Ngan Huynh Hirai | Dentist | 587 Allwood Rd, Clifton, NJ 07012-2158 | 2011-05-10 |
| 1891998175 | George Foukas | Dentist | 54 Grove Street, Clifton, NJ 07013 | 2007-06-06 |
| 1083817290 | Louis Roy Vita | Dentist | 991 Van Houten Avenue, Clifton, NJ 07013 | 2007-06-06 |
| 1336357714 | Neil Gelerter Dmd Pa | Dentist | 234 Clifton Avenue, Clifton, NJ 07011-1916 | 2007-05-18 |
| Find all providers in CLIFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.