Koury & Mitschke Dentistry Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19079 & 21826 Issued in TX

Legal business name

KOURY & MITSCHKE DENTISTRY PARTNERSHIP

Practice address

201 Oak Dr S
Suite 206
Lake Jackson, TX 77566-5676

Phone

(979) 297-2491

Fax

(979) 297-3468

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip C Koury, DDSNPI 1033263108

Title

General Partner

Phone

(979) 297-2491

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip C Koury, DDS

  • General Practice Dentistry
  • Lake Jackson, TX
  • NPI 1033263108
  NPD (past) Authorized official
• Samuel J Mitschke, DDS

  • General Practice Dentistry
  • Lake Jackson, TX
  • NPI 1154475226
  NPD (past)
• Samantha Lea Tejada, DDS

  • Dentist
  • Spring, TX
  • NPI 1245614791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073667150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "SUITE 206",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665676",
            "telephone_number": "979-297-2491",
            "fax_number": "979-297-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "SUITE 206",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665676",
            "telephone_number": "979-297-2491",
            "fax_number": "979-297-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOURY & MITSCHKE DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "979-297-2491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19079 & 21826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Kilian, CRNA
• Kimi Dart, DO, PLLC
• Susan Michelle Kinsella, M.S.
• Debra Kinsey, LPC
• KNH/TBC, Inc. (Total Body Chiropractic)
• Philip C Koury, DDS
• Ted Armstrong Kovacev, MD
• Blair William Krell, M.D.
• Krisbin Medical LLC (Cordial Care Family Practice)
• Gollavelli Jyothi Krishna, MD

• General Practice Dentistry in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.