KB DENTAL P.A. (NPI# 1811162621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811162621 |
| Entity Type | Organization |
| Organization Name | KB DENTAL P.A. |
| Other Organization Name | SOUTHFORK DENTAL |
| Practice Address |
158 W Fm 544 Ste 126 Murphy TX 75094-4800 |
| Practice Telephone | 9724242273 |
| Practice Fax Number | 9724242222 |
| Mailing Telephone | 9724242273 |
| Mailing Fax Number | 9724242222 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | DR. BINDU M KOLLI (PRESIDENT) |
| Authorized Official Telephone | 9724242273 |
| Authorized Official Credential | D,M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21085 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| SOUTHFORK DENTAL | Doing Business As Name - Organization |
| Street Address |
158 W FM 544 STE 126 |
| City | MURPHY |
| State | TX |
| Zip Code | 75094-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858406 | Leanne Omar Esbayhat | Physician Assistant | 211 East Farm To Market Road 544, #401, Murphy, TX 75094 | 2020-07-13 |
| 1942862503 | Marc Adam Fruithandler | Dentist | 213 North Murphy Road, Suite 700, Murphy, TX 75094 | 2019-07-03 |
| 1154882355 | Eye Center of Murphy Pllc | Optometrist | 213 N. Murphy Road, Suite 100, Murphy, TX 75094 | 2019-03-29 |
| 1255892881 | Tai Dental, Pllc | Dentist | 1015 N Murphy Rd # 100, Murphy, TX 75094 | 2019-03-27 |
| 1710489299 | Lumincare Physician Group, Pa | Family Medicine | 601 West Fm 544 Suite 111, Murphy, TX 75094 | 2018-03-01 |
| 1104377241 | Oliver S. Villaruel, Dds, Pllc | Clinic/Center | 410 West Fm 544, 103, Murphy, TX 75094 | 2016-10-24 |
| 1497127732 | Linu Mathew | Nurse Practitioner | 409 Cave River Drive, Murphy, TX 75094 | 2015-10-27 |
| 1487030946 | Solo S Transport | Non-emergency Medical Transport (VAN) | 305 Woodlake Dr, Murphy, TX 75094 | 2015-08-07 |
| 1235558453 | Heaton Holdings, Pllc | Dentist | 1501 West Miller Rd., Suite 180, Garland, TX 75094 | 2014-04-15 |
| 1619308319 | Cr Emergency Room, LLC | General Acute Care Hospital | 511 Fm 544, Suite 100, Murphy, TX 75094 | 2013-12-05 |
| Find all providers in zip 75094 | ||||
| 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 |
|---|---|---|---|---|
| 1316572233 | Instasmiles LLC | Dentist | 150 Brand Ste 800, Murphy, TX 75094-3734 | 2020-03-11 |
| 1659843142 | Khushboo Gandhi Dds Pllc | Dentist | 350 W Fm 544 Ste 130, Murphy, TX 75094-4640 | 2018-12-20 |
| 1013119395 | Susan Louise Edwards | Dentist | 324 Hampstead Dr, Murphy, TX 75094-4298 | 2007-05-31 |
| 1912116435 | Quincy Attipoe | Dentist | 824 Hunters Gln, Murphy, TX 75094-4375 | 2007-05-21 |
| 1164584249 | Steve Hun Cha | Dentist | 305 E. Fm 544, Suite 915, Murphy, TX 75094 | 2006-12-14 |
| 1033278114 | Oliver Villaruel | Dentist | 410 W Fm 544 Ste 103, Murphy, TX 75094 | 2006-12-06 |
| 1053402743 | Barry L Watson | Dentist | 119 Natural Spring Dr, Murphy, NC 28906 | 2006-09-27 |
| 1710091210 | Edwin Thomas Mims Jr. | Dentist | 96 Central St, Murphy, NC 28906-2949 | 2006-08-19 |
| 1124038237 | Masoud Esmaeilnia Najari | Dentist | 280 E Fm 544, #100, Murphy, TX 75094-3450 | 2006-08-09 |
| 1245248343 | Jacqueline Thi Nguyen | Dentist | 170 E Fm 544, #100, Murphy, TX 75094-4000 | 2006-08-04 |
| Find all providers in MURPHY | ||||
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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.