421 N 38TH KILLEEN PROFESSIONAL, PLLC (NPI# 1912526203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912526203 |
| Entity Type | Organization |
| Organization Name | 421 N 38TH KILLEEN PROFESSIONAL, PLLC |
| Practice Address |
421 N 38th St Killeen TX 76543-4153 |
| Practice Telephone | 2546340234 |
| Mailing Telephone | 2546340234 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | PETER GRUMBOS (OWNER) |
| Authorized Official Telephone | 2142597000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Killeen Dental Group | Doing Business As Name - Organization |
| Street Address |
421 N 38TH ST |
| City | KILLEEN |
| State | TX |
| Zip Code | 76543-4153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535130 | Wayne Ervin Pundt | Dentist | 421 N 38th St, Killeen, TX 76543-4153 | 2005-08-11 |
| 1023530870 | Samantha Cottingham | Dentist | 421 N 38th St, Killeen, TX 76543-4153 | 2017-07-13 |
| 1467822924 | Harris Dental Group Pllc | Dentist | 421 N 38th St, Killeen, TX 76543-4153 | 2015-09-28 |
| 1386037562 | Paul Sullivan | Dentist | 421 N 38th St, Killeen, TX 76543-4153 | 2015-03-11 |
| 1972940203 | Jay B Littlefield | Dentist | 421 N 38th St, Killeen, TX 76543-4153 | 2013-05-28 |
| 1891952891 | Wayne Pundt Dds | Dentist | 421 N 38th St, Killeen, TX 76543-4153 | 2008-05-19 |
| 1306065396 | Gary Pundt | Dentist | 421 N 38th St, Killeen, TX 76543-4153 | 2007-04-25 |
| 1427157288 | Michael Eugene Harris | Dentist | 421 N 38th St, Killeen, TX 76543-4153 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1801377627 | Pankti Shah | Physical Therapist | Rosewood Retirement Community, 5700 E. Central Texas Expy, Killeen, TX 76543 | 2018-08-29 |
| 1134648207 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3210 E Central Texas Expy, Killeen, TX 76543 | 2017-09-11 |
| 1558770628 | Pm Management Killeen I Nc, LLC | Assisted Living Facility | 5701 E. Central Texas Expressway, Killeen, TX 76543 | 2014-08-04 |
| 1649688722 | Rashad Altawaty | Dentist | 2202 South W S Young Drive, Killeen, TX 76543 | 2014-08-01 |
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1437386364 | Cenikor Foundation | Community/Behavioral Health | 4520 E Central Texas Expressway, #102, Killeen, TX 76543 | 2009-06-18 |
| 1851595060 | Jack Jones Hearing Centers, Inc | Audiologist | 1711 E Central Texas Expressway, Suite 108-3, Killeen, TX 76543 | 2007-06-12 |
| 1871713412 | Olga Rodgers | Speech-Language Pathologist | 2201 South Ws Young, Suite 117 A-1, Killeen, TX 76543 | 2007-04-26 |
| 1336367978 | Advanced Women's Health Center, Pa | Clinic/Center | 2201 South Ws Young Drive, Suite 114b, Killeen, TX 76543 | 2007-04-20 |
| Find all providers in zip 76543 | ||||
| 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 |
|---|---|---|---|---|
| 1093338998 | Kristen Drinkwater | Dentist | 3202 S W S Young Dr Ste 101, Killeen, TX 76542-6538 | 2020-05-26 |
| 1871126284 | Lowes Boulevard Family Dentistry, Pllc | Dentist | 1200 Lowes Blvd Ste 112, Killeen, TX 76542-5204 | 2020-02-14 |
| 1982240297 | Rohini Singh 2 Dmd Pllc | Dentist | 2520 Trimmier Rd Ste 105, Killeen, TX 76541 | 2019-11-21 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1306332325 | Nathaniel Phen | Dentist | 2202 S W S Young Dr Ste 102, Killeen, TX 76543-5318 | 2018-07-02 |
| 1396238614 | Lakshmi Chandana Alapati | Dentist | 3650 W Stan Schlueter Loop Ste 160, Killeen, TX 76549-6814 | 2018-06-11 |
| 1396246856 | John Matthew Franzen | Dentist | 3106 S W S Young Dr Ste C-304, Killeen, TX 76542-2000 | 2018-02-21 |
| 1740730308 | Ellen Schriner | Dentist | 2501 Bacon Ranch Rd Apt 910, Killeen, TX 76542-2908 | 2016-10-07 |
| 1215391057 | Cen-tex Family Dental Pllc | Dentist | 3000 Old Fm 440 Rd Ste 106, Killeen, TX 76549-1603 | 2016-04-07 |
| 1447631163 | Nehalben Patel | Dentist | 2710 S Clear Creek Rd, Suite #118, Killeen, TX 76549 | 2015-06-18 |
| Find all providers in KILLEEN | ||||
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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.