TOMBALL FAMILY DENTAL (NPI# 1780962456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780962456 |
| Entity Type | Organization |
| Organization Name | TOMBALL FAMILY DENTAL |
| Practice Address |
14060 Fm 2920 Rd Suite H Tomball TX 77377-5502 |
| Mailing Address |
14090 Fm 2920 Rd Suite H Tomball TX 77377-5549 |
| Practice Telephone | 2813892720 |
| Mailing Telephone | 2815161222 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | DR. AUDRA LEANN HIEMSTRA (P.C.) |
| Authorized Official Telephone | 2813892720 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24722 | TX | Dental Providers |
| Street Address |
14060 FM 2920 RD SUITE H |
| City | TOMBALL |
| State | TX |
| Zip Code | 77377-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141155 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 14060 Fm 2920 Rd, Tomball, TX 77377-5502 | 2006-11-15 |
| 1194324905 | Mary Salome Travis-kuebler | Pharmacist | 14060 Fm 2920 Rd, Tomball, TX 77377-5502 | 2020-10-22 |
| 1184246159 | Grace Liu | Pharmacist | 14060 Fm 2920 Rd, Tomball, TX 77377-5502 | 2020-05-13 |
| 1003441866 | Michael Liu | Pharmacist | 14060 Fm 2920 Rd, Tomball, TX 77377-5502 | 2020-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801594 | Gavin John Le Nobel | Otolaryngology | 14211 Fm 2920 Road, Suite 110, Tomball, TX 77377 | 2020-08-14 |
| 1144855057 | P&l Transportation LLC | Private Vehicle | 21834 E Yaupon Circle, Tomball, TX 77377 | 2020-03-11 |
| 1033767520 | Daniel Max & Marcandrea, LLC | Optometrist | 14090 Farm To Market 2920, Suite B, Tomball, TX 77377 | 2019-08-28 |
| 1932682689 | Donna C. Brown | Licensed Vocational Nurse | 11743 Northpointe Blvd. Tomball, Texas, Apt. 1131, Tomball, TX 77377 | 2018-09-10 |
| 1972097491 | Latrisala Bankston | Nurse Practitioner | 15535 Downford Dr, Tomball, TX 77377 | 2018-06-18 |
| 1700377249 | Yen Bui | Physician Assistant | 11931 Laurel Meadow Dr, Tomball, TX 77377 | 2018-05-21 |
| 1487165593 | Melanie Abella | Behavioral Analyst | 17418 Sunset Arbor Dr, Tomball, TX 77377 | 2017-10-16 |
| 1366991457 | Ida Echols | Specialist/Technologist, Other | 16131 N. Eldridge Pkwy Suite 200, Suite 5, Tomball, TX 77377 | 2016-09-29 |
| 1861861635 | Tayloe Douglas | Student in an Organized Health Care Education/Training Program | 15451 Kenny Drive, Tomball, TX 77377 | 2015-09-22 |
| 1578930343 | Han Bui | Optometrist | 14079 Fm 2920 Tomball Tx 77377, Tomball, TX 77377 | 2015-08-28 |
| Find all providers in zip 77377 | ||||
| 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 |
|---|---|---|---|---|
| 1750920476 | Nssmiles Pllc | Dentist | 24445 Tomball Pkwy, Tomball, TX 77375-8214 | 2019-12-27 |
| 1386191435 | Christina Ho | Dentist | 28602 Tomball Parkway, Ste B, Tomball, TX 77375 | 2016-09-07 |
| 1851769111 | Louis Russell Jr. | Dentist | 29210 Quinn Rd, Tomball, TX 77375-4486 | 2015-09-03 |
| 1134500317 | Lorraine Bautista | Dentist | 24179 State Highway 249, Tomball, TX 77375-8298 | 2015-06-14 |
| 1851781397 | Tomball Smiles Dentistry, PC | Dentist | 28602 Tomball Pkwy, B, Tomball, TX 77375-4204 | 2015-02-04 |
| 1548542244 | Modern Aesthetics Dental P.a. | Dentist | 25201 Kuykendahl Rd, 450 & 500, Tomball, TX 77375-3351 | 2011-09-20 |
| 1316233901 | Yoshinori Henry Kamaya | Dentist | 24036 Kuykendahl Rd Ste 300, Tomball, TX 77375-5374 | 2011-06-22 |
| 1902127020 | Nicholas Camarata | Dentist | 1113 Alma St, Tomball, TX 77375-4518 | 2010-06-14 |
| 1922235621 | Ginger Sue Mcelravy | Dentist | 24504 Kuykendahl Rd., Suite 400, Tomball, TX 77375 | 2009-06-19 |
| 1699921825 | Carl M Hickman Dds Pa | Dentist | 15731 Fm 2920, Tomball, TX 77377 | 2008-08-07 |
| Find all providers in TOMBALL | ||||
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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.