KHALDOUN F AL-AJLOUNI (NPI# 1033373113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033373113 |
| Entity Type | Individual |
| Full Name | KHALDOUN F AL-AJLOUNI |
| Credential | DDS PA |
| Practice Address |
100 W Southlake Blvd Ste 146 Southlake TX 76092-6100 |
| Practice Telephone | 8172519333 |
| Practice Fax Number | 8172519320 |
| Mailing Telephone | 8172519333 |
| Mailing Fax Number | 8172519320 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 22403 | TX | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22403 | TX | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
22403 | IL | Dental Providers |
| Street Address |
100 W SOUTHLAKE BLVD STE 146 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216660 | Karen Shalini Harmon | Physical Therapist | 100 W Southlake Blvd, #420, Southlake, TX 76092 | 2006-02-27 |
| 1477928273 | Texas Integrated Healthcare Solutions Pllc | General Practice | 100 W Southlake Blvd, Southlake, TX 76092-6100 | 2015-12-04 |
| 1851796932 | Elite Wellness and Weight Loss | General Practice | 100 W Southlake Blvd, Ste 180, Southlake, TX 76092-6100 | 2014-10-30 |
| 1205199684 | Meehan Sports Therapy & Pediatrics Pllc | Clinic/Center | 100 W Southlake Blvd, Ste 420, Southlake, TX 76092-6100 | 2012-06-20 |
| 1053630327 | Southlake Health P.C. | Chiropractor | 100 W Southlake Blvd, Suite # 410, Southlake, TX 76092-6100 | 2010-05-25 |
| 1134398753 | Franchisee of Foot Solutions | Prosthetic/Orthotic Supplier | 100 W Southlake Blvd, Suite 144, Southlake, TX 76092-6100 | 2008-02-28 |
| 1033242946 | Davinci Dentistry | Dentist | 100 W Southlake Blvd, Suite 146, Southlake, TX 76092-6104 | 2007-03-13 |
| 1194733733 | Gary Milton Randall | Family Medicine | 100 W Southlake Blvd, Ste 410, Southlake, TX 76092-6166 | 2006-08-03 |
| 1952379752 | Leslie Leah Williams | Physical Therapist | 100 W Southlake Blvd, Suite 420, Southlake, TX 76092-6166 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386779 | Daniela Rubiano Mejia | Dentist | 505 W Louis Henna Blvd Ste 505, Austin, TX 78728-1701 | 2020-11-05 |
| 1235738527 | Lorena Malpica | Dentist | 5602 Presidio Pkwy Apt 1411, San Antonio, TX 78249-3093 | 2020-10-19 |
| 1922606870 | Luciano Retana | Dentist | 1235 Kinwest Pkwy, Irving, TX 75063-3403 | 2020-10-13 |
| 1295332393 | Jonathan P Hawley | Dentist | 2423 Barrow St, Abilene, TX 79605-6203 | 2020-10-02 |
| 1629684402 | Ramon Noel Hernandez | Dentist | 13000 N Interstate 35 Ste 206, Austin, TX 78753-1030 | 2020-09-17 |
| 1720697600 | Silvia Sobrecueva | Dentist | 4724 Sweetwater Blvd Ste 103, Sugar Land, TX 77479-3150 | 2020-07-27 |
| 1922620400 | Luis Herra | Dentist | 3838 N Braeswood Blvd Apt 249, Houston, TX 77025-3018 | 2020-05-07 |
| 1396381398 | Sixth Dental Partner Pllc | Dentist | 6700 Stonebrook Pkwy Ste 101, Frisco, TX 75034-9639 | 2019-11-25 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| Find all providers with the same taxonomy | ||||
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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.