KS ALLEN TX PC (NPI# 1730682030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730682030 |
| Entity Type | Organization |
| Organization Name | KS ALLEN TX PC |
| Other Organization Name | JUBILEE DENTAL |
| Practice Address |
121 N Greenville Ave Ste M Allen TX 75002 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 9724267798 |
| Practice Fax Number | 2143839350 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | DR. DALE MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23525 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Jubilee Dental | Doing Business As Name - Organization |
| Street Address |
121 N GREENVILLE AVE STE M |
| City | ALLEN |
| State | TX |
| Zip Code | 75002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800810 | Lml Counseling Services, LLC | Community/Behavioral Health | 8505 Rasor Blvd, Plano, TX 75002 | 2020-08-05 |
| 1235779422 | Deepa Mary Mathew | Registered Nurse | 1719 Shawnee Trail, Allen, TX 75002 | 2020-01-15 |
| 1932687993 | Bec N Call Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 301 S. Cedar Drive, Allen, TX 75002 | 2018-08-01 |
| 1801388715 | Triton Medical, LLC | Durable Medical Equipment & Medical Supplies | 6800 Weiskopf Ave Suite 150, Allen, TX 75002 | 2018-06-06 |
| 1841787504 | Parley Hubler Jr Dds Pllc | Dentist | 501 S Angel Pkwy, Ste 100, Lucas, TX 75002 | 2018-04-18 |
| 1356842645 | Tammy Ann Eiland | Registered Nurse | 1412 Spring Street, 1412 Spring Street, Allen, TX 75002 | 2018-02-22 |
| 1770084055 | Choy Ortho-pedo Pllc | Dentist | 501 South Angel Parkway, Suite 400, Lucas, TX 75002 | 2018-02-22 |
| 1679091888 | Julie Von Gardner | Counselor | 809 Heritage Pkwy. South, Allen, TX 75002 | 2017-09-07 |
| 1255852984 | Christina Lynn Vo | Dentist | 611 Rockcrossing Ln., Allen, TX 75002 | 2017-07-03 |
| 1710416102 | Kevin Mark Fasolino | Chiropractor | 1506 N Greenville Ave Ste 260, Allen, TX 75002 | 2017-06-08 |
| Find all providers in zip 75002 | ||||
| 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 |
|---|---|---|---|---|
| 1417569807 | Navaneetha Brindha Natchimuthu Dds, Pllc | Dentist | 880 W Exchange Parkway, Building A, Suite 140, Allen, TX 75013 | 2020-08-18 |
| 1245707215 | Mint Dentistry | Dentist | 977 Sam Rayburn Tollway Ste 190, Allen, TX 75013-6014 | 2018-10-29 |
| 1952876856 | After Hours Dentistry, Pllc | Dentist | 915 W Exchange Pkwy Ste 170, Allen, TX 75013-7020 | 2018-10-06 |
| 1255852984 | Christina Lynn Vo | Dentist | 611 Rockcrossing Ln., Allen, TX 75002 | 2017-07-03 |
| 1467987404 | Advanced Dental Care | Dentist | 950 W Stacy Rd, 150, Allen, TX 75013-9998 | 2017-04-27 |
| 1467903294 | Studio Smiles Dental, Pllc | Dentist | 1259 W. Exchange Pkwy, Allen, TX 75013-7097 | 2016-10-17 |
| 1548714371 | Southern Star Dental | Dentist | 201 E Bethany Dr, Ste 20, Allen, TX 75002-3800 | 2016-08-10 |
| 1396196226 | Tru Smiles PC | Dentist | 2184 Saxon Way, Allen, TX 75013-5825 | 2016-06-22 |
| 1285092650 | Cozi Dental, Pllc | Dentist | 1545 E Main St, Ste 200, Allen, TX 75002-4488 | 2016-02-01 |
| 1972919777 | Meredith Davis | Dentist | 720 E Main St Ste A, Allen, TX 75002-3105 | 2014-07-01 |
| Find all providers in ALLEN | ||||
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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.