KIDZANIA DENTAL, LLC (NPI# 1134637119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134637119 |
| Entity Type | Organization |
| Organization Name | KIDZANIA DENTAL, LLC |
| Other Organization Name | KIDZANIA PEDIATRIC DENTISTRY |
| Practice Address |
26785 E. University Dr, St. 102 Aubrey TX 75068 |
| Mailing Address |
3851 Sw Green Oaks Blvd, St. 123 Arlington TX 76017 |
| Practice Telephone | 8174832445 |
| Practice Fax Number | 8174832677 |
| Mailing Telephone | 8174832445 |
| Mailing Fax Number | 8174832677 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |
| Authorized Official Name | DR. HUSSAM GHARRAPH (OWNER) |
| Authorized Official Telephone | 8174832445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
28910 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
29173 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Kidzania Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
26785 E. UNIVERSITY DR, ST. 102 |
| City | AUBREY |
| State | TX |
| Zip Code | 75068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1275178865 | A Gud Dentist, Pllc | Clinic/Center | 3010 Fm 423, #100, Little Elm, TX 75068 | 2019-11-07 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1447813183 | Adisy Senior Care | In Home Supportive Care | 1036 Ponderosa Ridge, Little Elm, TX 75068 | 2019-04-18 |
| 1518427715 | Cvs Pharmacy Inc | Pharmacy | 1177 Us Hwy 380, Frisco, TX 75068 | 2019-03-22 |
| 1205390382 | Catherine Mary Belyan | Specialist/Technologist, Other | 916 Rivers Creek Ln, Little Elm, TX 75068 | 2019-01-23 |
| 1851884407 | Peak Physical Therapy, LLC | Occupational Therapist | 2765 E Eldorado Pkwy Ste 210, Little Elm, TX 75068 | 2018-06-08 |
| 1598289225 | Joshua Allen Nannen | Chiropractor | 900 Snowbird Dr, Little Elm, TX 75068 | 2017-08-03 |
| 1205381076 | Ka Park | Dentist | 1000 E Eldorado Pkwy #130, Little Elm, TX 75068 | 2016-08-22 |
| 1437524451 | Frisco Elm Dental Pllc | Dentist | 2043 Fm 423 Ste 100, Little Elm, TX 75068 | 2015-12-02 |
| Find all providers in zip 75068 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487161238 | Aubrey Pediatric Dentistry | Dentist | 26615 Us Highway 380 E Ste 130, Aubrey, TX 76227-3831 | 2018-01-02 |
| 1639483506 | Karrie Lee | Dentist | 27045 East University Drive, Bldg 2, Unit A, Aubrey, TX 76227 | 2010-08-03 |
| 1083243570 | Windhaven Pediatric Dentistry | Dentist | 27045 East University Drive, Building 1, Unit A, Aubrey, TX 76227 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| 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.