Kids Dentistree of Abbeville - Odessa, PLLC
Organization Active NPI Pediatric Dentistry · Monahans, TX
NPI 1871037697 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1871037697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- KIDS DENTISTREE OF ABBEVILLE - ODESSA, PLLC
- Practice address
- 400 S Ike Ave
Monahans, TX 79756-4735 - Phone
- (432) 580-7220
- NPI assigned
- Dec 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Stephen James
- Title
- Cfo
- Phone
- (502) 254-8500
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Kids Dental
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
400 S Ike Ave
Monahans, TX 79756-4735
Mailing address
400 S Ike Ave
Monahans, TX 79756-4735
Phone (432) 580-7220
Other names
- Kids Dental
Other providers in Monahans, TX
- Suzanne Brady Gulick
- Helen Haley
- Donald L. Hubbard
- Mario Juarez Jr.
- Omoshola Benardinah Kehinde
- Diana King
- Manka Agnes Kwayu
- Megan M Lapointe
- Ashley Loy
- John P Loyless
All providers in Monahans, TX · Pediatric 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 Jan 4, 2017. 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.