West Kerr Dental, Professional Limited Liability C
Organization Active NPI General Practice Dentistry · Ingram, TX
NPI 1952016503 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1952016503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- WEST KERR DENTAL, PROFESSIONAL LIMITED LIABILITY C
- Practice address
- 3164 Junction Hwy Ste W-1
Ingram, TX 78025-3194 - Phone
- (830) 367-1171
- NPI assigned
- Jan 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Susannah M C Mitchell, DMD
- Title
- Owner
- Phone
- (303) 671-1718
Practitioners 1
National Provider Directory
Locations
3164 Junction Hwy
Ste W-1
Ingram, TX 78025
Phone (830) 367-1171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
3164 Junction Hwy Ste W-1
Ingram, TX 78025-3194
Mailing address
3164 Junction Hwy Ste W-1
Ingram, TX 78025-3194
Phone (830) 367-1171
Other names
- none
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | westkerdental.com | Direct |
Other providers in Ingram, TX
- Michael L Ray
- Recovery Medicine, PLLC
- Kathleen Saunders Vlasek
- Therapeia Counseling Center, PLLC
- Justin Joaquin Vigil
- Shauna Ann Wickham
- Thomas W. Wickham
- Lance Wayne Wilke
All providers in Ingram, 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 May 22, 2024. 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.