DR. KRYSTAL LYNN ROBERTS (NPI# 1700196870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700196870 |
| Entity Type | Individual |
| Full Name | DR. KRYSTAL LYNN ROBERTS |
| Credential | D.D.S. |
| Practice Address |
2811 Business Center Dr Pearland Modern Dentistry Pearland TX 77584 |
| Practice Telephone | 7134445628 |
| Mailing Telephone | 7134445628 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2013-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 24932 | TX | Dental Providers |
| Street Address |
2811 BUSINESS CENTER DR PEARLAND MODERN DENTISTRY |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265798367 | Pearland Modern Dentistry, PC | Dentist | 2811 Business Center Dr, Suite 105, Pearland, TX 77584-2149 | 2012-04-03 |
| 1457645384 | Kanisha S. Campbell | Dentist | 2811 Business Center Dr, Pearland, TX 77584-2149 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134696149 | Farah Zwain | Dentist | 2521 Rusting Creek Dr, Pearland, TX 77584-3407 | 2018-10-28 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| 1760903280 | Andre Justin Loumeau | Dentist | 2708 Pearland Pkwy Ste 220, Pearland, TX 77581-5353 | 2017-07-06 |
| 1013437938 | Kristin Aulds | Dentist | 2708 Pearland Parkway, Ste 220, Pearland, TX 77581 | 2017-06-21 |
| 1063947208 | D & C Dental Corp, Pllc | Dentist | 2810 Business Center Dr., Suite #108, Pearland, TX 77584 | 2017-04-25 |
| 1003361403 | Cindy Hua | Dentist | 2810 Business Center Dr Ste 108, Pearland, TX 77584-9783 | 2016-08-16 |
| 1346692399 | Bridget Mae Han Espanol | Dentist | 9407 Sundance Dr, Pearland, TX 77584-2893 | 2016-07-01 |
| 1649630757 | Deanna L Davis Dds Pllc | Dentist | 12810 Broadway St. Ste, 110, Pearland, TX 77584-6707 | 2016-03-02 |
| 1881053221 | Cleona Oliver | Dentist | 11901 Shadow Creek Pkwy Ste 135, Pearland, TX 77584-7346 | 2016-02-13 |
| 1992175111 | Ideal Dental of Pearland Pllc | Dentist | 2630 Pearland Parkway, Suite 120, Pearland, TX 77581 | 2015-09-30 |
| Find all providers in PEARLAND | ||||
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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.