KENDALL DDS PLLC (NPI# 1073177531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073177531 |
| Entity Type | Organization |
| Organization Name | KENDALL DDS PLLC |
| Practice Address |
2124 S Donnybrook Ave Tyler TX 75701-4239 |
| Practice Telephone | 9035972201 |
| Practice Fax Number | 9035972282 |
| Mailing Telephone | 9035972201 |
| Mailing Fax Number | 9035972282 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | DR. TRAVIS L KENDALL (OWNER/DENTIST) |
| Authorized Official Telephone | 9035972201 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Texas Sedation Dental & Implant Center | Doing Business As Name - Organization |
| Street Address |
2124 S DONNYBROOK AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982710463 | Loyd Dickard Dowd | Dentist | 2124 S Donnybrook Ave, Tyler, TX 75701-4239 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912104464 | Justin B Jones | Dentist | 132 S Horace Ave, Tyler, TX 75702-6159 | 2007-06-28 |
| 1538361738 | James G Miller | Dentist | 132 S Horace Ave, Tyler, TX 75702-6159 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221032 | Girish Suresh Shelke | Dentist | 7703 Floyd Curl Dr # 2.539u, San Antonio, TX 78229-3901 | 2020-07-05 |
| 1386289767 | Nazgol Gharbi | Dentist | 5310 Burnet Rd Ste 108, Austin, TX 78756-2061 | 2019-11-09 |
| 1841845989 | Ensy Ann Atarod | Dentist | 1303 San Antonio St Ste 500, Austin, TX 78701-0025 | 2019-08-06 |
| 1093272932 | Dental Smiles | Dentist | 1201 Barbara Jordan Blvd Ste 1435, Austin, TX 78723-3099 | 2019-02-27 |
| 1790240794 | Jamboree Dentistry Vi Pllc | Dentist | 6715 Bissonnet St, Houston, TX 77074-6129 | 2019-02-04 |
| 1083198311 | Husain Kapadia | Dentist | 14041 Grant Rd Ste 110, Cypress, TX 77429-0041 | 2018-09-21 |
| 1679076848 | Northside Health Center | Dentist | 8504 Schuller, Houston, TX 77093 | 2018-03-14 |
| 1093218257 | Sharpstown Health Clinic | Dentist | 6201 Bohomme Rd, 3rd Floor, Houston, TX 77036 | 2018-03-14 |
| 1700389962 | La Nueva Casa De Amigos | Dentist | 1809 N Main Street, Houston, TX 77009 | 2018-03-14 |
| 1215436167 | Babcock Dental Partners, Pllc | Dentist | 6565 Babcock Rd Ste 1, San Antonio, TX 78249-2345 | 2018-02-06 |
| Find all providers with the same taxonomy | ||||
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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.