BRENT CORNELIUS (NPI# 1720249402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720249402 |
| Entity Type | Individual |
| Full Name | BRENT CORNELIUS |
| Credential | DDS |
| Practice Address |
1674 Keller Pkwy Ste 180 Keller TX 76248-3751 |
| Practice Telephone | 8174314200 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19334 | TX | Dental Providers |
| Street Address |
1674 KELLER PKWY STE 180 |
| City | KELLER |
| State | TX |
| Zip Code | 76248-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649492224 | Sayeed Attar | Dentist | 1674 Keller Pkwy, #100, Keller, TX 76248-3751 | 2007-05-03 |
| 1730541061 | Randhir Kapoor | Dentist | 1674 Keller Pkwy, 160, Keller, TX 76248-3751 | 2016-03-25 |
| 1881053734 | Advanced Endodontics of Dfw | Clinic/Center | 1674 Keller Pkwy, #100, Keller, TX 76248-3751 | 2016-02-21 |
| 1528472909 | Rishika Kapoor | Dentist | 1674 Keller Pkwy, Suite #160, Keller, TX 76248-3751 | 2014-06-13 |
| 1225213176 | Vande Matram Periodontology, Pa | Dentist | 1674 Keller Pkwy, # 160, Keller, TX 76248-3751 | 2008-01-09 |
| 1376734244 | Casey Lane Turner | Dentist | 1674 Keller Pkwy, Suite 100, Keller, TX 76248-3751 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| 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 |
|---|---|---|---|---|
| 1932692340 | Zil Gandhi | Dentist | 1674 Keller Pkwy Ste 180, Keller, TX 76248-3756 | 2018-06-11 |
| 1265798318 | Highland Oaks Family Dentistry, Pllc | Dentist | 700 N Tarrant Pkwy, Ste. 102, Keller, TX 76248-5693 | 2012-04-03 |
| 1548549751 | Thanh-xuan B Nguyen | Dentist | 4400 Heritage Trace Pwky, Ste #212, Keller, TX 76034-4510 | 2011-08-05 |
| 1770870941 | Hyojin Kim | Dentist | 412 Palisades Trl, Keller, TX 76248-1508 | 2011-07-07 |
| 1578867065 | Rafiq Hirji | Dentist | 1005 Sumac Dr, Keller, TX 76262-8834 | 2010-12-27 |
| 1922243609 | Timberland Family Dental Pllc | Dentist | 12477 Timberland Blvd, Suite 113, Keller, TX 76248-1217 | 2008-12-09 |
| 1013164284 | Heritage Trace Dental, Pa | Dentist | 4160 Heritage Trace Pkwy, Suite 408, Keller, TX 76248-1312 | 2008-08-19 |
| 1043401037 | John William Stephens | Dentist | 5336 N Tarrant Pkwy, Keller, TX 76248-6293 | 2007-08-06 |
| 1851594386 | Marshall A Olson | Dentist | 777 Bandit Trl, Suite A, Keller, TX 76248-0111 | 2007-06-11 |
| 1962611921 | Leslie Nason | Dentist | 1720 Rufe Snow Dr, Keller, TX 76248-5628 | 2007-05-22 |
| Find all providers in KELLER | ||||
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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.