KLA DR PLLC (NPI# 1972103240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972103240 |
| Entity Type | Organization |
| Organization Name | KLA DR PLLC |
| Practice Address |
2100 Dallas Pkwy Ste 120 Plano TX 75093-4394 |
| Mailing Address |
1121 Grassmere Dr Richardson TX 75080-2910 |
| Practice Telephone | 9728241752 |
| Mailing Telephone | 9728241752 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | DR. KEVIN ADUDDELL (OWNER, PRESIDENT) |
| Authorized Official Telephone | 9728241752 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Resort | Doing Business As Name - Organization |
| Street Address |
2100 DALLAS PKWY STE 120 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-4394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| 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 |
|---|---|---|---|---|
| 1205473139 | Mahdiya I Ahmed | Dentist | 2831 W 15th St # 200, Plano, TX 75075-7527 | 2019-12-10 |
| 1548828171 | Sonya Berriche | Dentist | 6202 W Park Blvd, Plano, TX 75093-6200 | 2019-05-29 |
| 1528622693 | Tc Dental Pa | Dentist | 5938 W Parker Rd Ste 200, Plano, TX 75093-6416 | 2019-04-24 |
| 1184199390 | Kasra Dabeshlim | Dentist | 101 W Spring Creek Pkwy Ste 732, Plano, TX 75023-4631 | 2018-10-04 |
| 1134636574 | Shurouk Zakia Azzo | Dentist | 7516 Trevino Dr, Plano, TX 75025-6129 | 2018-01-08 |
| 1417477605 | Kathryn Lyn James | Dentist | 6317 Preston Rd Ste 500, Plano, TX 75024-2677 | 2017-06-20 |
| 1659803112 | Aduddell Dentistry Pllc | Dentist | 1300 Medical Ave Ste 101, Plano, TX 75075-7798 | 2017-04-03 |
| 1033641675 | Smile Strong Dental, Pllc | Dentist | 1921 W 15th St, Suite 100, Plano, TX 75075-7337 | 2017-04-02 |
| 1891236204 | Dash Dental Associates Pllc | Dentist | 2220 Coit Rd Ste 570, Plano, TX 75075-3710 | 2017-03-17 |
| 1962943639 | Smileeasy Dental Plano, Pllc | Dentist | 525 Coit Road, Plano, TX 75075 | 2017-03-15 |
| Find all providers in PLANO | ||||
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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.