Mollie Helaine Kentor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20611 Issued in TX

Practice address

4807 Spicewood Springs Rd
BLDG. 1, Ste. 1260
Austin, TX 78759-8444

Phone

(512) 349-1900

Fax

(512) 349-1901

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912011750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD",
            "address_2": "BLDG. 1, STE. 1260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598444",
            "telephone_number": "512-349-1900",
            "fax_number": "512-349-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SPICEWOOD SPRINGS RD",
            "address_2": "BLDG. 1, STE. 1260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598444",
            "telephone_number": "512-349-1900",
            "fax_number": "512-349-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTOR",
        "first_name": "MOLLIE",
        "middle_name": "HELAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Rochelle Kennon
• Matthew David Kenny, MD
• Diane Margaret Kent, L.AC.
• Shawn G Kent, LPC
• Susan M Kent, M.D.
• Candace R Kenyon, MSPT
• Isabel Margot Keogh, MA, LPC
• Elise Nicole Keoghan, LPC
• Diana Lynn Keough, OTR
• Karen Cecilia Keough, MD

• General Practice Dentistry in Austin, TX
• Providers in Austin, 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 Jul 8, 2007; 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.