1417220963 NPI number — KACHER ADULT DENTISTRY PLLC

Table of content: (NPI 1417220963)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417220963 NPI number — KACHER ADULT DENTISTRY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KACHER ADULT DENTISTRY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417220963
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4223 RESEARCH FOREST DR STE 500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THE WOODLANDS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77381-4558
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-292-1605
Provider Business Mailing Address Fax Number:
281-292-7372

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4223 RESEARCH FOREST DR STE 500
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77381-4558
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-292-1605
Provider Business Practice Location Address Fax Number:
281-292-7372
Provider Enumeration Date:
02/14/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KACHER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DETIST
Authorized Official Telephone Number:
281-292-1605

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  21868 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)