KS2 TX, PC (NPI# 1760772115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760772115 |
| Entity Type | Organization |
| Organization Name | KS2 TX, PC |
| Other Organization Name | KOOL SMILES |
| Practice Address |
1012 20th Street North Texas City TX 77590 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 7709169000 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | DR. DALE MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7709165028 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kool Smiles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285920421 | Ks2 Tx, PC | Dentist | 4117 S Staples St, Corpus Christi, TX 78411 | 2011-06-27 |
| Street Address |
1012 20TH STREET NORTH |
| City | TEXAS CITY |
| State | TX |
| Zip Code | 77590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801346580 | Gan Dental Pllc | Dentist | 2321 Palmer Hwy, Texas City, TX 77590 | 2016-10-06 |
| 1013393271 | Angelica Francisca Torres | Counselor | 4325 Emmett F. Lowry Expressway, Texas City, TX 77590 | 2015-08-10 |
| 1700264306 | H-e-b, Lp | Clinical Medical Laboratory | 3502 Palmer Hwy, Texas City, TX 77590 | 2015-05-14 |
| 1306105291 | Cheryl Renee Mason | Religious Nonmedical Nursing Personnel | 1913 1st Avenue North, Texas City, TX 77590 | 2012-05-11 |
| 1437387651 | Leslie Scruggs Mayer | Dentist | 1201 21st St N, Texas City, TX 77590 | 2009-06-25 |
| 1215195565 | Rachel Elizabeth Mathers | Internal Medicine | 1101 Loop 197 S, Texas City, TX 77590 | 2008-05-22 |
| 1811194012 | Maria Victoria Escamilla | Nurse Practitioner | 6801 Emmett Lowry Expressway, Mainland Center Hospital Occmed Solutions, Texas City, TX 77590 | 2007-06-29 |
| 1558582189 | Brandon Stewart Fleshman | Dentist | 2501 Palmer Hwy Ste. 240, Texas City, TX 77590 | 2007-05-01 |
| 1770633463 | Toni Jo Lindstrom | Psychologist | 126 25th St No, Texas City, TX 77590 | 2007-01-12 |
| 1194819433 | Guy Michael Moore | Counselor | 2925 Palmer Highway, Suite C, Texas City, TX 77590 | 2006-10-03 |
| Find all providers in zip 77590 | ||||
| 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 |
|---|---|---|---|---|
| 1316565542 | Dental Professionals of Texas, P.a. | Dentist | 1708 N Amburn Rd Ste A, Texas City, TX 77591-2489 | 2020-07-14 |
| 1487216495 | Courtni Nicole Tello | Dentist | 1130 14th St N, Texas City, TX 77590-5413 | 2019-07-01 |
| 1417512443 | Nederland Smile PC | Dentist | 3448 Palmer Hwy, Texas City, TX 77590-6512 | 2019-05-06 |
| 1548579683 | Lee & Lee Texas City 1 Pllc | Dentist | 3527 Palmer Hwy, Texas City, TX 77590-6513 | 2010-10-06 |
| 1316152986 | William Anthony Chuoke Jr. | Dentist | 1310 34th St N, Suite A, Texas City, TX 77590-6570 | 2007-05-14 |
| 1598989253 | Saeed Rohi | Dentist | 9300 E. F Lowry Exp-way, Suite # 164, Texas City, TX 77591 | 2007-04-12 |
| 1275648651 | Bruce M Wright | Dentist | 1030 14th St N, 2750 West Main Suite D, Texas City, TX 77590-5412 | 2006-08-19 |
| 1225001175 | John Kendall Hackbarth | Dentist | 1708 N Amburn Rd, Suite A, Texas City, TX 77591-2436 | 2006-02-10 |
| 1407357577 | Matthew Thomas Hicks | Dentist | 1310 34th St N, Texas City, TX 77590-6570 | 2018-02-23 |
| 1639529654 | Sager Dental Pllc | Dentist | 1012 20th St N, Texas City, TX 77590-5488 | 2016-06-21 |
| Find all providers in TEXAS CITY | ||||
| City | TEXAS CITY |
| Zip Code | 77590 |
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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.