KVILLAGE DENTAL (NPI# 1811423379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811423379 |
| Entity Type | Organization |
| Organization Name | KVILLAGE DENTAL |
| Practice Address |
1028 Mac Arthur Dr #100 Carrollton TX 75007 |
| Practice Telephone | 9722420005 |
| Practice Fax Number | 9722420009 |
| Mailing Telephone | 9722420005 |
| Mailing Fax Number | 9722420009 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | JOSEPH S JUNG (PRESIDENT) |
| Authorized Official Telephone | 9722420005 |
| Authorized Official Credential | 02201970 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21703 | TX | Dental Providers |
| Street Address |
1028 MAC ARTHUR DR #100 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184106510 | Reshaped Pllc | Family Medicine | 2008 E Hebron Pkwy #114, Carrollton, TX 75007 | 2018-09-01 |
| 1912436353 | Amanda M Nguyen | Pharmacist | 4112 N Josey, Carollton, TX 75007 | 2017-06-08 |
| 1205362928 | Harichandana Vemireddy Dmd Pllc | Clinic/Center | 1000 West Rosemeade Parkway Ste 100, Carrolton, TX 75007 | 2017-05-02 |
| 1215477195 | Patrick Vo | Pharmacist | 1725 Flowers Dr, Carrollton, TX 75007 | 2017-02-27 |
| 1538514500 | Rimvin, LLC | Clinic/Center | 2710 N Josey Ln., Suite 301, Carrollton, TX 75007 | 2016-04-27 |
| 1780052985 | Double A Hospice Care Inc | Hospice Care, Community Based | 3712 Old Denton Rd, Ste 120, Carrollton, TX 75007 | 2015-09-04 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1659762987 | Sheena Thomas Kottackal | Pharmacist | 1453 Meadow Vista Dr, Carrollton, TX 75007 | 2015-02-09 |
| 1144638099 | Courtney Leigh Rodriguez | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007 | 2014-07-23 |
| 1740600931 | Ayesha Noor Malik | Dentist | 2904 Old Denton Rd, Suite 112, Carrollton, TX 75007 | 2014-04-26 |
| Find all providers in zip 75007 | ||||
| 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 |
|---|---|---|---|---|
| 1770192692 | Michelle Nguyen | Dentist | 1457 Summerhill Dr, Carrollton, TX 75007-6049 | 2020-07-27 |
| 1629611587 | Vincent Dirusso | Dentist | 1801 Crest View Dr, Carrollton, TX 75006-1609 | 2019-10-23 |
| 1508411844 | Steven Christopher Renas | Dentist | 1930 E Rosemeade Pkwy Ste 103, Carrollton, TX 75007-2467 | 2019-08-05 |
| 1912483942 | Asana Family Dental Pllc | Dentist | 1235 S Josey Ln Ste 534, Carrollton, TX 75006-7684 | 2018-07-12 |
| 1578059002 | Richard Sung | Dentist | 1204 N Josey Ln, Carrollton, TX 75006-6117 | 2018-07-09 |
| 1710331582 | Dowell Dental Third Street LLC | Dentist | 25 3rd St Ne, Carrollton, OH 44615-1205 | 2016-04-19 |
| 1891166989 | Alexander Beavers | Dentist | 403 Locust St, Carrollton, IL 62016-1304 | 2015-10-14 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1740600931 | Ayesha Noor Malik | Dentist | 2904 Old Denton Rd, Suite 112, Carrollton, TX 75007 | 2014-04-26 |
| 1689016495 | Namrata Chirag Shah | Dentist | 1513 W Hebron Pkwy Ste 108, Carrollton, TX 75010-6466 | 2013-07-22 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75007 |
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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.