KIDS DENTAL TEXAS, PLLC (NPI# 1063736767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063736767 |
| Entity Type | Organization |
| Organization Name | KIDS DENTAL TEXAS, PLLC |
| Other Organization Name | KIDS DENTAL |
| Practice Address |
6047 Bissonnet St Houston TX 77081-6903 |
| Practice Telephone | 7134327222 |
| Practice Fax Number | 7134327221 |
| Mailing Telephone | 7134327222 |
| Mailing Fax Number | 7134327221 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |
| Authorized Official Name | DR. CRAIG L VAN ALFEN (MEMBER) |
| Authorized Official Telephone | 8018089465 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kids Dental | Doing Business As Name - Organization |
| Street Address |
6047 BISSONNET ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77081-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655061 | Rubab Lakhva Pllc | Dentist | 6047 Bissonnet St, Houston, TX 77081-6903 | 2017-05-11 |
| 1922483239 | Indus Dental Associates, P.C. | Dentist | 6047 Bissonnet St, Houston, TX 77081-6903 | 2015-07-28 |
| 1326441676 | Bissonnet Family Dentistry, Pllc | Dentist | 6047 Bissonnet St, Houston, TX 77081-6903 | 2014-10-01 |
| 1932495678 | Smiley Dental Bissonnet Pllc | Dentist | 6047 Bissonnet St, Houston, TX 77081-6903 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1518471804 | Leslie Marquez | Nurse Practitioner | 6121 Hillcroft St Ste O, Houston, TX 77081 | 2017-11-22 |
| 1841704236 | Erick Noel Montoya Roll | Specialist/Technologist, Other | 5760 Gulfton St Apt 1549, Houston, TX 77081 | 2017-11-22 |
| 1023537743 | Pro Med Rx | Pharmacy | 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 | 2017-09-13 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
| 1184075657 | Kimble Elisabeth Chentnik | Optometrist | 6699 Chimney Rock, Suite 201, Houston, TX 77081 | 2016-06-27 |
| 1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
| 1588058432 | Mi Rae Kim | Nurse Practitioner | 5420 Dashwood Dr Ste 100, Houston, TX 77081 | 2015-03-27 |
| Find all providers in zip 77081 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1760041578 | Beloved Dental Pllc | Dentist | 4130 Bellaire Blvd, Suite 214, Houston, TX 77025 | 2019-06-06 |
| 1245894294 | Gac Dental Pllc | Dentist | 9540 South Main St., Ste 100, Houston, TX 77025 | 2019-04-25 |
| 1831679976 | Dentini Pediatric Dentistry | Dentist | 2723 Yale Street, Suite 104, Houston, TX 77008 | 2018-08-17 |
| 1851887848 | Michael Posada Dmd, Pllc | Dentist | 2990 Richmond Ave Ste 170, Houston, TX 77098-3109 | 2018-07-03 |
| 1568955052 | Rm Dental Pllc | Dentist | 6500 North Fwy Ste 124, Houston, TX 77076-2941 | 2018-06-11 |
| 1962991927 | Houston Red Oak Drive Dental, PC | Dentist | 17222 Red Oak Dr Ste 104, Houston, TX 77090-2614 | 2018-05-05 |
| 1669970950 | Houston Pediatric Dental Partners | Dentist | 5252 Westchester St Ste 190, Houston, TX 77005-4144 | 2018-02-01 |
| 1821443771 | Antonio Dario Cardenas | Dentist | 8333 Braesmain Dr Apt 1204, Houston, TX 77025-2944 | 2016-04-28 |
| Find all providers in HOUSTON | ||||
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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.