KHUSH DENTISTRY PLLC (NPI# 1548667355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548667355 |
| Entity Type | Organization |
| Organization Name | KHUSH DENTISTRY PLLC |
| Other Organization Name | AGAVE DENTAL |
| Practice Address |
119 Business Park Drive Suite 200 Kenedy TX 78119 |
| Mailing Address |
2006 10th St Floresville TX 78114-2770 |
| Practice Telephone | 8303938333 |
| Mailing Telephone | 8303938333 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | SUMEET SINGH MALHOTRA (OWNER) |
| Authorized Official Telephone | 6174120792 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
26104 | TX | Ambulatory Health Care Facilities |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
26104 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| AGAVE DENTAL | Doing Business As Name - Organization |
| Street Address |
119 BUSINESS PARK DRIVE SUITE 200 |
| City | KENEDY |
| State | TX |
| Zip Code | 78119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467801779 | Nathan Borgfeld | Family Medicine | Kaiser Family Practice, 3349 South Hwy 181, Suite #3, Kenedy, TX 78119 | 2016-06-07 |
| 1245627850 | William Seal Byers | Specialist | 10235 Fm 743, Kenedy, TX 78119 | 2015-04-21 |
| 1881014314 | H-e-b, Lp | Clinical Medical Laboratory | 107 N Sunset Strip, Kenedy, TX 78119 | 2014-04-23 |
| 1700128097 | Brittany Okpagu | Family Medicine | 3349 Us-181, Kenedy, TX 78119 | 2013-03-25 |
| 1770702946 | Mary P Phelps | Dentist | 330 West Live Oak Street, Kenedy, TX 78119 | 2007-04-25 |
| 1265525950 | Prescription Shop | Durable Medical Equipment & Medical Supplies | 143 Craig Street, Kenedy, TX 78119 | 2006-10-02 |
| 1124015268 | Kenedy Manor Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 7882 S Highway 181, Drawer E, Kenedy, TX 78119 | 2005-10-04 |
| 1932273703 | Seraphic Sisters Inc | Nursing Facility/Intermediate Care Facility | 209 S 3rd St, Kenedy, TX 78119-0359 | 2006-11-20 |
| 1073531828 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 200 Business Park Blvd, Kenedy, TX 78119-2026 | 2006-07-18 |
| 1568503803 | Kenedy Independent School District | Local Education Agency (LEA) | 401 Fm 719, Kenedy, TX 78119-2034 | 2007-02-09 |
| Find all providers in zip 78119 | ||||
| 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 |
|---|---|---|---|---|
| 1952823197 | Yoonjin Chung | Dentist | 119 Business Park Blvd Ste 200, Kenedy, TX 78119-2063 | 2017-07-10 |
| 1881045854 | Partapjot Singh Grewal | Dentist | 119 Business Park Blvd, 200 Ste, Kenedy, TX 78119-2062 | 2016-06-30 |
| 1265890362 | Robert Fletcher, Pllc | Dentist | 131 Business Park Blvd Ste 600, Kenedy, TX 78119-3512 | 2016-02-03 |
| 1346414174 | Dr. Wade Phelps | Dentist | 330 W Liveoak St, Kenedy, TX 78119-2326 | 2008-04-14 |
| 1770702946 | Mary P Phelps | Dentist | 330 West Live Oak Street, Kenedy, TX 78119 | 2007-04-25 |
| 1447477443 | Wade L Phelps | Dentist | 330 West Live Oak St, Kenedy, TX 78119-2326 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| 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.