KILLEEN MODERN DENTISTRY, PC (NPI# 1275034597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275034597 |
| Entity Type | Organization |
| Organization Name | KILLEEN MODERN DENTISTRY, PC |
| Other Organization Name | KILLEEN MODERN DENTISTRY |
| Practice Address |
507 W Stan Schlueter Loop Suite 104 Killeen TX 76542 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 2548709209 |
| Practice Fax Number | 2548709886 |
| Mailing Telephone | 7148458500 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | DR. JOHN S BARNES (OWNER DENTIST) |
| Authorized Official Telephone | 2548709209 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Killeen Modern Dentistry | Doing Business As Name - Organization |
| Street Address |
507 W STAN SCHLUETER LOOP SUITE 104 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277131 | Rajani Pathak | Physician Assistant | 507 W Stan Schlueter Loop, Killeen, TX 76542-3986 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| 1669929147 | Spears Home Care Inc | Technician | 2707 E Stan Schlueter Loop, Ste 105, Killeen, TX 76542 | 2016-09-01 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194575 | Austin Sleep Wellness LLC | Dentist | 2300 E Rancier Ave Ste 110, Killeen, TX 76543-3450 | 2020-05-01 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1134615032 | Priyanka Agrawal | Dentist | 3650 W Stan Schlueter Loop # 160, Killeen, TX 76549-6814 | 2018-07-03 |
| 1447709266 | Henry Charles Lucksinger Jr. | Dentist | 811 Oakhill Drive, Killeen, TX 76541 | 2016-09-22 |
| 1811353881 | Ace Dental02 | Dentist | 3650 W Stan Schlueter Loop, Killeen, TX 76549-3677 | 2016-01-06 |
| 1649688722 | Rashad Altawaty | Dentist | 2202 South W S Young Drive, Killeen, TX 76543 | 2014-08-01 |
| 1790197267 | Jeff Muszynski | Dentist | 2601 E Elms Rd # K, Killeen, TX 76542-2804 | 2014-06-02 |
| 1851702872 | Fusion Dental At Clear Creek Pllc | Dentist | 4102 S Clear Creek Rd Ste 102, Killeen, TX 76549-5954 | 2014-05-13 |
| 1851645865 | Sonja Babic | Dentist | 5500 Lions Gate Ln, Killeen, TX 76549-5617 | 2012-10-30 |
| 1619274800 | George Michael Hannah | Dentist | 305 W Elms Rd, Ste. G 9, Killeen, TX 76542-2583 | 2011-02-24 |
| 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.