DR. DOUGLAS ALAN KEBODEAUX (NPI# 1093244295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093244295 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS ALAN KEBODEAUX |
| Credential | DDS |
| Practice Address |
300 Fm 407 E Suite #100 Argyle TX 76226 |
| Mailing Address |
Po Box 860036 Minneapolis MN 55486-0036 |
| Practice Telephone | 9402761750 |
| Practice Fax Number | 9402761751 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 32941 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12420 Timberland Blvd Ste 416, Fort Worth, TX 762445230 | 8175181100 |
| Street Address |
300 FM 407 E SUITE #100 |
| City | ARGYLE |
| State | TX |
| Zip Code | 76226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666153 | Rapid Med Argyle | Clinic/Center | 391 Us Highway 377, Argyle, TX 76226 | 2020-10-15 |
| 1083259139 | Vivid Performance Physical Therapy | Physical Therapist | 1517 15th Street, Northlake, TX 76226 | 2019-11-13 |
| 1760959480 | Ben E. Dickerson | Counselor | 9477 Fort Worth Drive, Denton, TX 76226 | 2018-10-31 |
| 1376018226 | Pm Partnership Pllc | Dentist | 1500 Commons Circle, Suite 100, Northlake, TX 76226 | 2018-10-08 |
| 1982183604 | Mark Andrew Sams | Counselor | 1413 Rolling Acres Dr, Argyle, TX 76226 | 2018-08-13 |
| 1164900874 | Staci Durik | Psychologist | 2300 Chipping Campden Rd, Argyle, TX 76226 | 2018-08-03 |
| 1396221685 | Northlake Family Eyecare Pllc | Optometrist | 1500 Commons Circle Ste. 200, Northlake, TX 76226 | 2018-07-19 |
| 1518489640 | Juanita Gwen Lillard | Specialist/Technologist, Other | 7218 Crawford Road, Argyle, TX 76226 | 2017-07-11 |
| 1306387188 | Chisholm Trail Urgent Care Pllc | Clinic/Center | 7214 Crawford Road, Suite 150, Argyle, TX 76226 | 2017-03-14 |
| 1912458365 | Chandra Freeman | Social Worker | 914 Country Rd, Argyle, TX 76226 | 2016-10-20 |
| Find all providers in zip 76226 | ||||
| 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 |
|---|---|---|---|---|
| 1184081986 | Kathleen Eddington | Dentist | 306 Us Hwy 377 Ste A, Argyle, TX 76226-3958 | 2016-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1659971653 | Richardson Heights Dental, Pllc | Dentist | 721 W Arapaho Rd Ste 101, Richardson, TX 75080-4155 | 2020-10-28 |
| 1053911396 | Ko Dental Group, PC | Dentist | 302 S. Avenue Q, Clifton, TX 76634 | 2020-10-27 |
| 1972103240 | Kla Dr Pllc | Dentist | 2100 Dallas Pkwy Ste 120, Plano, TX 75093-4394 | 2020-10-27 |
| 1255930798 | Jpm Dental Conroe | Dentist | 2104 N Frazier St Ste 140, Conroe, TX 77301-1250 | 2020-10-24 |
| 1407455173 | Perla Dental of Kaufman Pa | Dentist | 380 E Us Highway 175, Kaufman, TX 75142-3548 | 2020-10-22 |
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1770182701 | Summit Point Dental & Implant Center | Dentist | 3124 West University Drive, Mckinney, TX 75071-7507 | 2020-10-21 |
| 1760081954 | Amlan Pankaj | Dentist | 802 E Amarillo Blvd # 300, Amarillo, TX 79107-5401 | 2020-10-20 |
| 1114525581 | Ashley Roy | Dentist | 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 | 2020-10-16 |
| 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.