DR. KENNETH EDWARD ABOUSSIE (NPI# 1235353699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235353699 |
| Entity Type | Individual |
| Full Name | DR. KENNETH EDWARD ABOUSSIE |
| Credential | D.D.S |
| Practice Address |
2300 Harrison St Wichita Falls TX 76308-1342 |
| Practice Telephone | 9407236677 |
| Practice Fax Number | 9407236670 |
| Mailing Telephone | 9407236677 |
| Mailing Fax Number | 9407236670 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9648 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 007983201 | 05 |
| Street Address |
2300 HARRISON ST |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154542231 | Kenneth E. Aboussie Dds | Dentist | 2300 Harrison St, Wichita Falls, TX 76308 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
| 1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
| 1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
| 1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| Find all providers in zip 76308 | ||||
| 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 |
|---|---|---|---|---|
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1174074041 | Value Smiles Pllc | Dentist | 2710 Central Fwy, Ste140, Wichita Falls, TX 76306-2855 | 2016-10-17 |
| 1043767221 | Value Smiles Pllc | Dentist | 2710 Central Freeway, Ste 140, Wichita Falls, TX 76306 | 2016-09-06 |
| 1700288131 | Sarah Berriche | Dentist | 3201 Lawrence Rd Ste 375, Wichita Falls, TX 76308-1638 | 2014-09-17 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| 1770852014 | Landon Taylor Baird | Dentist | 1810 Southwest Pkwy, Suite 100, Wichita Falls, TX 76302-4700 | 2011-12-15 |
| 1245474402 | Nadia Chene' Beacham | Dentist | 3720 Call Field Rd, Wichita Falls, TX 76308-2765 | 2009-04-30 |
| 1841441359 | Oran Lance Troegle | Dentist | 110 Lee St, Wichita Falls, TX 76301-1128 | 2008-10-02 |
| 1376792259 | Swati S Dixit | Dentist | 3720 Call Field Rd Ste 100, Wichita Falls, TX 76308 | 2008-09-16 |
| 1457551673 | Ronald D. Blankenship | Dentist | 4446 Southwest Pkwy, Wichita Falls, TX 76308-3331 | 2007-07-25 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76308 |
Please comment or provide details below to improve the information on DR. KENNETH EDWARD ABOUSSIE.
| 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.