DR. DENVER W LACKORN (NPI# 1124241633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124241633 |
| Entity Type | Individual |
| Full Name | DR. DENVER W LACKORN |
| Credential | D.D.S. |
| Practice Address |
404 E Mountain St Seguin TX 78155-5524 |
| Practice Telephone | 8303798900 |
| Practice Fax Number | 8303798903 |
| Mailing Telephone | 8303798900 |
| Mailing Fax Number | 8303798903 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10475 | TX | Dental Providers |
| Street Address |
404 E MOUNTAIN ST |
| City | SEGUIN |
| State | TX |
| Zip Code | 78155-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417336702 | Five Star Eye Care, Pllc | Optometrist | 404 E Mountain St, Seguin, TX 78155-5524 | 2015-05-20 |
| 1073949079 | Seguin Family & Implant Dentistry | Dentist | 404 E Mountain St, Seguin, TX 78155-5524 | 2013-09-23 |
| 1841595741 | Mark Hong Dds, Pllc | Dentist | 404 E Mountain St, Seguin, TX 78155-5524 | 2011-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506098 | Brian Christianson | Specialist/Technologist | 1000 W. Court St, Athletic Training Clinic, Seguin, TX 78155 | 2019-09-06 |
| 1164903035 | Danie Marie Clifton | Licensed Vocational Nurse | 1265 Rawhide Rd, Seguin, TX 78155 | 2018-08-28 |
| 1871010959 | Lora Marie Varela | Occupational Therapy Assistant | 562 South Highway 123 Bypass, 224, Seguin, TX 78155 | 2017-08-29 |
| 1295251924 | Anas Hakimeh | Dentist | 901 N Hwy 123 Bypass, Seguin, TX 78155 | 2017-08-15 |
| 1225560774 | Amanda Shoemaker | Student in an Organized Health Care Education/Training Program | 1000 W. Court St., Seguin, TX 78155 | 2017-04-03 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1013222488 | Remarkable Healthcare of Seguin, Lp | Skilled Nursing Facility | 1339 Eastwood Drive, Seguin, TX 78155 | 2010-08-10 |
| 1750695342 | Ritchie Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1069 E. Gonzales, Seguin, TX 78155 | 2010-08-06 |
| Find all providers in zip 78155 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053841791 | Courtney Kiel Arguelles | Dentist | 317 S State Highway 46, Seguin, TX 78155-7506 | 2017-06-15 |
| 1871981381 | Tier One Dental | Dentist | 279 S State Highway 46, Seguin, TX 78155-7504 | 2015-01-06 |
| 1336554526 | Jennifer Lan Chau | Dentist | 1467 E Court St, Seguin, TX 78155-5165 | 2014-06-25 |
| 1790126142 | Tejash Patel | Dentist | 1417 E Walnut St Ste 100, Seguin, TX 78155-5183 | 2013-07-15 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1881880953 | Toothtime Family Dentistry Pllc | Dentist | 1356 E Court St, Seguin, TX 78155-5131 | 2007-09-21 |
| 1679789168 | Gery Wane Moczygemba | Dentist | 515 N King St Ste 102, Seguin, TX 78155-4815 | 2007-05-14 |
| 1790822500 | Lara Alexandra Perry | Dentist | 317 Texas Hwy 46, Seguin, TX 78155-1407 | 2007-01-31 |
| 1215085717 | Samuel Scott Henry | Dentist | 279 South Hwy 46, Seguin, TX 78155 | 2007-01-08 |
| 1336158864 | Larry M. Speir, Dds, Inc. | Dentist | 908 E Court St, Seguin, TX 78155-5813 | 2006-08-05 |
| Find all providers in SEGUIN | ||||
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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.