Richard Kubiak, D.D.S., F.A.G.D.
Individual provider Active NPI General Practice Dentistry · Giddings, TX
NPI 1992858146 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992858146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11326 (TX)
- Practice address
- 165 S Leon St
Giddings, TX 78942-3313 - Phone
- (979) 542-3696
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11326 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11326 | TX | Yes |
Addresses
Primary practice location
165 S Leon St
Giddings, TX 78942-3313
Mailing address
165 S Leon St
Giddings, TX 78942-3313
Phone (979) 542-3696
Other providers in Giddings, TX
- Mark Allen Jones
- Paul A Jurica III
- Teresa Hill Kinsfather
- Anna Marie Kleinschmidt, RPH
- Keith R Kubiak
- Nichole Kuck
- Laura Birnbaum, M.D., P.a.
- Lifecare Corporation
- Deanna Lowrey-Green
- Annette Mack
All providers in Giddings, 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 Jul 8, 2007. 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.