DR. SUMMER CELESTE KETRON (NPI# 1083913198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083913198 |
Entity Type | Individual |
Full Name | DR. SUMMER CELESTE KETRON |
Credential | D.D.S. |
Practice Address |
5301 50th St Ste 100 Lubbock TX 79414-5834 |
Mailing Address |
4905 78th St Lubbock TX 79424-3103 |
Practice Telephone | 8067933556 |
Mailing Telephone | 8069282080 |
Enumeration Date | 2011-03-15 |
Last Update Date | 2012-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
27872 | TX | Dental Providers |
Street Address |
5301 50TH ST STE 100 |
City | LUBBOCK |
State | TX |
Zip Code | 79414-5834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710473244 | Natalie Anderson | Dentist | 5301 50th St Ste 100, Lubbock, TX 79414-5834 | 2018-07-09 |
1811316086 | Jay C. Adkins, Dds | Dentist | 5301 50th St Ste 100, Lubbock, TX 79414-5834 | 2014-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
Find all providers in zip 79414 |
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 |
---|---|---|---|---|
1710524426 | Maupin Endodontics & Microsurgery Pllc | Dentist | 6010 82nd St Ste 300, Lubbock, TX 79424-0822 | 2019-12-02 |
1730664798 | Dental Health Associates of Texas, PC | Dentist | 6102 82nd St Ste 1, Lubbock, TX 79424-0803 | 2018-09-26 |
1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
1699288423 | Yellow House Dental & Implant Center, Pllc | Dentist | 2420 Quaker Ave Ste 104, Lubbock, TX 79410-1837 | 2017-11-15 |
1134674187 | Lauren Gates Fey | Dentist | 5607 Slide Rd # 200, #200, Lubbock, TX 79414-4104 | 2016-08-19 |
1336591692 | Abbeville Family Dentistry | Dentist | 3801 50th St Ste 13a, Lubbock, TX 79413-3859 | 2016-07-11 |
1457729394 | Mccasland Family Dental Too Pllc | Dentist | 7310 Slide Rd, Suite 102, Lubbock, TX 79424-2512 | 2015-09-09 |
1265847248 | Karissa Young | Dentist | 1318 Broadway Ste 5, Lubbock, TX 79401-3206 | 2014-06-27 |
1902126774 | Familia Dental Lubbock Pllc | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2010-06-03 |
1336371988 | Michael P Melanson | Dentist | 1923 Marsha Sharp Fwy, 103, Lubbock, TX 79415-4036 | 2009-08-17 |
Find all providers in LUBBOCK |
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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.