CORNEIL KIMBERLY FRETTY (NPI# 1437406410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437406410 |
| Entity Type | Individual |
| Full Name | CORNEIL KIMBERLY FRETTY |
| Credential | DDS |
| Practice Address |
430 N High St Henderson TX 75652-5910 |
| Practice Telephone | 9039182519 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
27168 | TX | Dental Providers |
| Street Address |
430 N HIGH ST |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740204700 | Charles Lynn Hutto | Dentist | 430 N High St, Henderson, TX 75652-5910 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481928 | Mykel Anderson | Dentist | 256 E Lake Mead Pkwy, Henderson, NV 89015-6440 | 2020-09-14 |
| 1548639701 | David Alan Chenin | Dentist | 10730 S Eastern Ave, Henderson, NV 89052-5216 | 2015-09-17 |
| 1023416120 | Ji Hyun Ahn | Dentist | 4 Sunset Way Ste A6, Henderson, NV 89014-2016 | 2014-12-05 |
| 1003017278 | Gary L Jennings | Dentist | 704 Barrett Blvd, Henderson, KY 42420-4931 | 2007-05-29 |
| 1225250798 | Stephen Terry Chenin | Dentist | 10730 S. Eastern Ave., Ste 100, Henderson, NV 89052-5217 | 2007-05-03 |
| 1003032129 | Tania Quinn | Dentist | 34 N Valle Verde Dr, Suite 120, Henderson, NV 89074 | 2007-04-17 |
| 1306961040 | John Rick Neilson | Dentist | 1909 N Green Valley Pkwy Ste A, Henderson, NV 89074-8353 | 2007-03-20 |
| 1659406395 | Kent L. Phillips, D.d.s., M.s., Ltb. | Dentist | 390 N Stephanie St, Suite 104, Henderson, NV 89014-8028 | 2007-02-22 |
| 1578627238 | Bruce Stewart Harris | Dentist | 2563 Evening Sky Drive, Henderson, NV 89052 | 2006-12-20 |
| 1174613921 | Leonardo Carlos Ferrer Bordador | Dentist | 2799 Sunridge Heights Pkwy Ste 100, Henderson, NV 89052-5055 | 2006-10-13 |
| Find all providers in HENDERSON | ||||
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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.