Abc Pediatric Dental Center PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

026115 Issued in TX

Legal business name

ABC PEDIATRIC DENTAL CENTER PLLC

Practice address

751 Hebron Pkwy Ste 330
Attn. Dr. Kendra Behram
Lewisville, TX 75057-5054

Phone

(240) 645-5940

NPI assigned

Apr 12, 2011

Last updated

May 12, 2011By 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. Kendra Ugo Behram, DDS

Title

Pediatric Dentist

Phone

(240) 645-5940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1649560590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 201",
            "address_2": "ATTN. DR. KENDRA BEHRAM",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575143",
            "telephone_number": "240-645-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 330",
            "address_2": "ATTN. DR. KENDRA BEHRAM",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575054",
            "telephone_number": "240-645-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRIC DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "BEHRAM",
        "authorized_official_first_name": "KENDRA UGO",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "240-645-5940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "026115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.