KEITH A. COBURN (NPI# 1194383745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194383745 |
| Entity Type | Individual |
| Full Name | KEITH A. COBURN |
| Credential | D.D.S. |
| Practice Address |
1224 Kilgore Rd. Baytown TX 77520 |
| Practice Telephone | 2813801455 |
| Mailing Telephone | 2813801455 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10682 | TX | Dental Providers |
| Street Address |
1224 KILGORE RD. |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824828 | Stacy Duhe Jefferson | Counselor | 1009 Polly Ave., Baytown, TX 77520 | 2020-02-27 |
| 1427530856 | Domenique Roszette Gee | Specialist/Technologist | 2500 Market Street, Baytown, TX 77520 | 2018-09-01 |
| 1558793323 | Sasan Yadollahibastani | Dentist | 1105 E. James Ave., Baytown, TX 77520 | 2013-08-05 |
| 1346581931 | Trudy B Istre | Nurse Practitioner | 2610 N. Alexander Dr. Suite 201, Baytown, TX 77520 | 2013-03-07 |
| 1871816272 | Hyacynthia Mary Leonce-james | Counselor | 1610 James Bowie, Suite B108, Baytown, TX 77520 | 2010-03-12 |
| 1457507444 | Harbor Hospice of Baytown, Lp | Hospice Care, Community Based | 1610 James Bowie Dr., Suite D-111, Baytown, TX 77520 | 2008-08-11 |
| 1790982551 | Gregory Thomas Laliberte | Counselor | 401 West Texas Avenue, Cease Addiction Office, Baytown, TX 77520 | 2007-06-27 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1003943655 | Steven S Coggins Md | Anesthesiology | 9042 Northpoint Dr, Baytown, TX 77520 | 2007-02-28 |
| 1154460285 | Bobby Harold Hughes | Dentist | 1004 W Sterling, Baytown, TX 77520 | 2007-02-05 |
| Find all providers in zip 77520 | ||||
| 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 |
|---|---|---|---|---|
| 1710531157 | Kiersten Marie Isgrigg | Dentist | 6331 Garth Rd Ste 100, Baytown, TX 77521-5624 | 2019-07-24 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1548645922 | Van T. Nguyen | Dentist | 1250 Garth Rd Ste B, Baytown, TX 77520-2424 | 2015-07-27 |
| 1326483827 | Jared C Vandermeyden | Dentist | 4301 Garth Rd Ste 302, Baytown, TX 77521-3158 | 2013-05-09 |
| 1659610020 | Altus Dental P.a. | Dentist | 4508 Garth Rd, Suite#a, Baytown, TX 77521-2154 | 2013-02-05 |
| 1841568789 | Texas Dental Associates, Pa | Dentist | 6502 Garth Rd., Suite 100, Baytown, TX 77521-9889 | 2011-12-07 |
| 1427343367 | Kirstin Kimberly O'leary | Dentist | 5010 Garth Rd Ste 204, Baytown, TX 77521-2254 | 2011-06-17 |
| 1114257672 | Tin T Truong | Dentist | 4567 Garth Rd., Suite 300, Baytown, TX 77521-2123 | 2010-01-06 |
| 1750583381 | Raymond King Harrell Sr. | Dentist | 6502 Garth Rd, Ste 100, Baytown, TX 77521-9888 | 2007-06-05 |
| 1225259252 | Ronnie Lee Andress | Dentist | 6644 Garth Rd, Baytown, TX 77521-8623 | 2007-05-01 |
| Find all providers in BAYTOWN | ||||
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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.