KD MACKIE DDS PLLC (NPI# 1740645936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740645936 |
| Entity Type | Organization |
| Organization Name | KD MACKIE DDS PLLC |
| Practice Address |
1677 River Rd 103 Boerne TX 78006-2446 |
| Practice Telephone | 8303317355 |
| Mailing Telephone | 8303317355 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Authorized Official Name | DR. KURT DOUGLAS MACKIE (OWNER) |
| Authorized Official Telephone | 8303317355 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14092 | TX | Dental Providers |
| Street Address |
1677 RIVER RD 103 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396848198 | Kurt D Mackie | Dentist | 1677 River Rd, 103, Boerne, TX 78006-2446 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| 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 |
|---|---|---|---|---|
| 1619030301 | Victoria Lynn Leonhart | Dentist | 11345 Alamo Ranch Pkwy, Ste 104, Boerne, TX 78006 | 2006-12-18 |
| 1053487298 | David Joel Gomillion | Dentist | 32350 Ih 10 W, Boerne, TX 78006-9214 | 2006-11-28 |
| 1285735613 | George Wade Hundley Jr. | Dentist | 128 Medical Dr, Boerne, TX 78006 | 2006-09-26 |
| 1063518892 | Barry F Gooden | Dentist | 122 Medical Dr, Boerne, TX 78006 | 2006-09-16 |
| 1396848198 | Kurt D Mackie | Dentist | 1677 River Rd, 103, Boerne, TX 78006-2446 | 2006-09-07 |
| 1497766091 | Michael Hatcher | Dentist | 1415 E Blanco Rd Ste 16, Boerne, TX 78006-1887 | 2006-08-10 |
| 1245200591 | Brent J. Callegari | Dentist | 9627 Boerne Spg, Boerne, TX 78006-9394 | 2006-01-26 |
| 1699120808 | Premier Boerne Dental, Pllc | Dentist | 804 N Main St, Boerne, TX 78006-1626 | 2016-04-26 |
| 1245698554 | Anita Myers | Dentist | 134 Menger Spgs, #1310, Boerne, TX 78006-7218 | 2016-02-01 |
| 1669802633 | Steven Michael Sanchez Dds Pplc | Dentist | 230 W Bandera Rd, Boerne, TX 78006-2805 | 2013-11-12 |
| Find all providers in BOERNE | ||||
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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.