LONE STAR DENTAL ANESTHESIA (NPI# 1295210573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295210573 |
| Entity Type | Organization |
| Organization Name | LONE STAR DENTAL ANESTHESIA |
| Practice Address |
4112 E Renner Rd Richardson TX 75082-2832 |
| Practice Telephone | 9725363972 |
| Mailing Telephone | 9725363972 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | JINSOO KIM (OWNER) |
| Authorized Official Telephone | 9725363972 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
Dental Providers |
| Street Address |
4112 E RENNER RD |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75082-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316019995 | Jinsoo Kim | Dentist | 4112 E Renner Rd, Richardson, TX 75082-2832 | 2006-11-15 |
| 1306224993 | Hasan Zia | Dentist | 4112 E Renner Rd, Richardson, TX 75082-2832 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
| 1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
| 1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
| 1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
| 1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
| 1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
| 1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
| 1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
| Find all providers in zip 75082 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306224993 | Hasan Zia | Dentist | 4112 E Renner Rd, Richardson, TX 75082-2832 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265914923 | Hill Country Special Care Dental Center, Pllc | Dentist | 30745 Us Highway 281 N # 103, Bulverde, TX 78163-3291 | 2018-08-29 |
| 1811363807 | Ryne Patrick Wilson | Dentist | 4500 Narrowbrook Dr, Flower Mound, TX 75028-6030 | 2015-08-13 |
| 1386052751 | Vmax Dental | Dentist | 110 N Preston Rd, Suite 10, Prosper, TX 75078-8643 | 2014-07-29 |
| 1194148841 | Albert Kang, Dds Inc | Dentist | 22202 Estate Hill Dr Apt 15207, San Antonio, TX 78258-3550 | 2014-01-31 |
| 1093147852 | Albert Byoungoh Kang | Dentist | 22202 Estate Hill Dr # 15207, San Antonio, TX 78258-3398 | 2013-08-04 |
| 1518276740 | Hunter Ross Stuart II | Dentist | 2408 N Fielder Rd, Arlington, TX 76012-5531 | 2010-10-05 |
| 1649426891 | Mohit Sharda | Dentist | 5999 Custer Rd, Suite # 125, Frisco, TX 75035-9302 | 2008-08-07 |
| 1871759621 | Iris Lo | Dentist | 3401 Royal Vista Blvd Ste A100, Round Rock, TX 78681-1149 | 2008-07-31 |
| 1154500247 | Andrea M Bell | Dentist | 625 El Gusto Dr, El Paso, TX 79912-2517 | 2007-10-25 |
| 1114050002 | Bryan Neal Henderson II | Dentist | 8325 Walnut Hill Ln Ste 235, Dallas, TX 75231-4255 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
| City | RICHARDSON |
| Zip Code | 75082 |
Please comment or provide details below to improve the information on LONE STAR DENTAL ANESTHESIA.
| 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.