KB Dental III P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21085 Issued in TX

Legal business name

KB DENTAL III P.A.

Practice address

8600 N Macarthur Blvd
140
Irving, TX 75063-4113

Phone

(972) 544-4800

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bindu Madhavi Kolli, D.M.D.

Title

President

Phone

(214) 693-8661

Specialties & licenses 1

Addresses

Other names 1

• southfork dental Doing business as

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1992053409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 ORIOLE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943887",
            "telephone_number": "972-544-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N MACARTHUR BLVD",
            "address_2": "140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634113",
            "telephone_number": "972-544-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB DENTAL III P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "KOLLI",
        "authorized_official_first_name": "BINDU",
        "authorized_official_middle_name": "MADHAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-693-8661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "southfork dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rushneet Kaur
• Simerpreet Kaur
• Sarita Kaushik
• Sheena Kaushik, PHARMD
• Joan P Kay, M.D.
• Keathly and Thomas LLC
• Keilson and Associates MD PA
• Keith D Snitker DDS PA
• Antonya Kelley, DC
• Amanda Kelly, CRNA

• All providers in Irving, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.