LOWES BOULEVARD FAMILY DENTISTRY, PLLC (NPI# 1871126284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871126284 |
| Entity Type | Organization |
| Organization Name | LOWES BOULEVARD FAMILY DENTISTRY, PLLC |
| Practice Address |
1200 Lowes Blvd Ste 112 Killeen TX 76542-5204 |
| Mailing Address |
5800 N I 35 Ste 205 Denton TX 76207-1438 |
| Practice Telephone | 9402207833 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | EVERETT CHAD EVANS (OWNER/DENTIST) |
| Authorized Official Telephone | 9403125626 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Magic of Killeen | Doing Business As Name - Organization |
| Street Address |
1200 LOWES BLVD STE 112 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| 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 |
|---|---|---|---|---|
| 1093338998 | Kristen Drinkwater | Dentist | 3202 S W S Young Dr Ste 101, Killeen, TX 76542-6538 | 2020-05-26 |
| 1982240297 | Rohini Singh 2 Dmd Pllc | Dentist | 2520 Trimmier Rd Ste 105, Killeen, TX 76541 | 2019-11-21 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1306332325 | Nathaniel Phen | Dentist | 2202 S W S Young Dr Ste 102, Killeen, TX 76543-5318 | 2018-07-02 |
| 1396238614 | Lakshmi Chandana Alapati | Dentist | 3650 W Stan Schlueter Loop Ste 160, Killeen, TX 76549-6814 | 2018-06-11 |
| 1396246856 | John Matthew Franzen | Dentist | 3106 S W S Young Dr Ste C-304, Killeen, TX 76542-2000 | 2018-02-21 |
| 1740730308 | Ellen Schriner | Dentist | 2501 Bacon Ranch Rd Apt 910, Killeen, TX 76542-2908 | 2016-10-07 |
| 1215391057 | Cen-tex Family Dental Pllc | Dentist | 3000 Old Fm 440 Rd Ste 106, Killeen, TX 76549-1603 | 2016-04-07 |
| 1447631163 | Nehalben Patel | Dentist | 2710 S Clear Creek Rd, Suite #118, Killeen, TX 76549 | 2015-06-18 |
| 1487048435 | Cfd Group, Pllc | Dentist | 3202 S W S Young Dr, Suite 101, Killeen, TX 76542-6537 | 2015-03-26 |
| Find all providers in KILLEEN | ||||
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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.