DR. STEPHEN JOSEPH KIESEL (NPI# 1386717312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386717312 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JOSEPH KIESEL |
| Credential | D.D.S. |
| Practice Address |
1602 E Starr Ave Suite C Nacogdoches TX 75961-4327 |
| Mailing Address |
1602 East Starr Suite C P. O. Box 631768 Nacogdoches TX 75963-1768 |
| Practice Telephone | 9365602551 |
| Practice Fax Number | 9365690309 |
| Mailing Telephone | 9365602551 |
| Mailing Fax Number | 9365690309 |
| Enumeration Date | 2006-11-16 |
| 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 |
14204 | TX | Dental Providers |
| Street Address |
1602 E STARR AVE SUITE C |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609865914 | Jennifer Criss | Dentist | 1602 E Starr Ave, Suite 203, Nacogdoches, TX 75961-4327 | 2005-10-19 |
| 1407234248 | Jennifer Criss, Dds,pa | Dentist | 1602 E Starr Ave, Suite 203, Nacogdoches, TX 75961-4312 | 2015-05-13 |
| 1508876244 | Debra L White | Chiropractor | 1602 E Starr Ave, 201, Nacogdoches, TX 75961-4312 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| 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 |
|---|---|---|---|---|
| 1922591510 | Cole Adam Sutak | Dentist | 4610 North St Ste 101, Nacogdoches, TX 75965-1841 | 2018-06-08 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1215465885 | Sarkar Dental, PC | Dentist | 4909 North St Ste 210, Nacogdoches, TX 75965-1808 | 2017-05-26 |
| 1154607992 | Apex Dental PC | Dentist | 4610 North St, Ste 101, Nacogdoches, TX 75965-1813 | 2011-10-25 |
| 1053690966 | Kimberly Danielle Biggs-lewis | Dentist | 1023 N Mound St Ste D, Nacogdoches, TX 75961-4453 | 2011-08-09 |
| 1922396746 | Matthew Eric Bateman | Dentist | 3205 N University Dr Ste B, Nacogdoches, TX 75965 | 2011-07-13 |
| 1780834226 | Louis E Rector | Dentist | 912 N University Dr, Nacogdoches, TX 75961-4643 | 2008-09-21 |
| 1891810008 | David B. Alexander | Dentist | 1329 N University Dr Ste C1, Nacogdoches, TX 75961-4291 | 2007-03-20 |
| 1225173172 | Ronald G. Theiss | Dentist | 1302 Raguet, Nacogdoches, TX 75965 | 2007-02-20 |
| 1255475257 | Roger Ivan Van Horn | Dentist | 928 N University Dr, Nacogdoches, TX 75961-4643 | 2007-02-16 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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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.