DEWITT DENTAL PROFESSIONALS (NPI# 1376819029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376819029 |
| Entity Type | Organization |
| Organization Name | DEWITT DENTAL PROFESSIONALS |
| Practice Address |
1707 W Main St Yorktown TX 78164-5127 |
| Mailing Address |
Po Box 590 Cuero TX 77954-0590 |
| Practice Telephone | 3615642239 |
| Mailing Telephone | 3615642239 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | DR. KIMBERLY MARIE KOENIG (MANAGING MEMBER) |
| Authorized Official Telephone | 3612436242 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22869 | TX | Dental Providers |
| Street Address |
1707 W MAIN ST |
| City | YORKTOWN |
| State | TX |
| Zip Code | 78164-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833829 | John H Frels | Dentist | 1707 W Main St, Suite B, Yorktown, TX 78164-5127 | 2005-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447386008 | Yorktown Isd | Counselor | 331 W Main St, Yorktown, TX 78164 | 2007-02-26 |
| 1659568442 | Golden Days Villa Inc | Assisted Living Facility | 439 East Main, Yorktown, TX 78164-0365 | 2007-09-26 |
| 1063415107 | Yorktown Emergency Medical Service | Ambulance | 508 N Riedel St, Yorktown, TX 78164-1810 | 2005-05-23 |
| 1821422551 | Dewitt Medical District | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2013-08-29 |
| 1619055571 | Gracia Medical, LLP | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-11-01 |
| 1447344635 | Carolyn Dale Denton | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-10-03 |
| 1710913785 | Gordon Barth | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-06-23 |
| 1437193943 | Laura Pacek | Physician Assistant | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-06-15 |
| 1669644597 | Kelly Dean Hranicky | Licensed Vocational Nurse | 341 S Reidel, Yorktown, TX 78164-2024 | 2008-04-01 |
| 1053462838 | Kraege Drug Store | Pharmacy | 113 E Main St, Yorktown, TX 78164-2030 | 2007-01-16 |
| Find all providers in zip 78164 | ||||
| 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 |
|---|---|---|---|---|
| 1497241244 | George Michos | Dentist | 3120 Kiln Creek Pkwy, Yorktown, VA 23693-5648 | 2018-07-05 |
| 1285924100 | Red Star Dental | Dentist | 202 St.clair Cirle, Apt K, Yorktown, VA 23693 | 2011-04-12 |
| 1740428168 | Yorktown Dental | Dentist | 4326 George Washington Mem Hwy, Yorktown, VA 23692-2707 | 2009-01-22 |
| 1245487453 | John R Willoughby | Dentist | 4326 George Washington Highway, Yorktown, VA 23692-2707 | 2008-08-20 |
| 1578725503 | James E Harrison Jr. | Dentist | 3212 Hampton Highway, Suite A, Yorktown, VA 23693-4948 | 2008-07-01 |
| 1457511420 | Keith E Vaughan | Dentist | 6521 George Washington Mem Hwy, Yorktown, VA 23692-2169 | 2008-06-13 |
| 1760653943 | Anthony Lewis Martin | Dentist | 119 Village Ave Ste C, Yorktown, VA 23693-5643 | 2008-03-17 |
| 1568632370 | Jeffrey L Ezekiel Dds PC | Dentist | 3301 Hampton Hwy Ste M, Yorktown, VA 23693-2967 | 2008-03-07 |
| 1922277250 | Chand A. Syed | Dentist | 106 Yorktown Rd, Yorktown, VA 23693-3500 | 2008-02-20 |
| 1902927841 | Robert W George Dds | Dentist | 3212 Hampton Hwy, Suite A, Yorktown, VA 23693-4904 | 2007-04-02 |
| Find all providers in YORKTOWN | ||||
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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.