K&H Dental PA
Organization Active NPI General Practice Dentistry · Bridgeport, TX
NPI 1376941013 · NPPES record last updated Dec 19, 2014
Key facts
- NPI
- 1376941013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 26104 (TX)
- Legal business name
- K&H DENTAL PA
- Practice address
- 1808 Chico Highway
Bridgeport, TX 76426 - Phone
- (940) 683-3233
- NPI assigned
- Dec 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Sumeet Singh Malhotra
- Title
- Owner
- Phone
- (617) 412-0792
Practitioners 1
National Provider Directory
Locations
1808 Chico Hwy
Bridgeport, TX 76426
Phone (940) 683-3233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 26104 | TX | Yes |
| Dental Clinic/Center | 261QD0000X | 26104 | TX |
Addresses
Primary practice location
1808 Chico Highway
Bridgeport, TX 76426
Mailing address
1808 Chico Highway
Bridgeport, TX 76426
Phone (940) 683-3233
NPI Registry JSON
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418947200000",
"number": "1376941013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 CHICO HIGHWAY",
"city": "BRIDGEPORT",
"state": "TX",
"postal_code": "76426",
"telephone_number": "940-683-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 CHICO HIGHWAY",
"city": "BRIDGEPORT",
"state": "TX",
"postal_code": "76426",
"telephone_number": "940-683-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K&H DENTAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-11",
"last_updated": "2014-12-19",
"status": "A",
"authorized_official_last_name": "MALHOTRA",
"authorized_official_first_name": "SUMEET",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-412-0792"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "26104",
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "TX",
"license": "26104",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, TX
- Amber Hussman
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- Jacob Mayberry Assisting Services
- Gary Wayne Jessup
- Jon W Copeland DO PA
- William Leonard
- Monica Lee Lewis
- Monica Lira
- Traci Lockhart
- Longbines Pharmacy Inc
All providers in Bridgeport, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.