Dewitt Dental Professionals
General Practice Dentistry · Yorktown, TX
Practice location
1707 W Main StYorktown, TX 78164-5127
- Phone
- (361) 564-2239
NPI record
- NPI
- 1376819029
- Entity type
- Organization (Type 2)
- Enumeration date
- March 27, 2012
- Last updated
- March 27, 2012
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
22869 | TX |
Mailing address
PO Box 590Cuero, TX 77954-0590
- Phone
- (361) 564-2239
Authorized official
- Name
- Dr. Kimberly Marie Koenig, D.D.S.
- Title
- Managing Member
- Phone
- (361) 243-6242
About Dewitt Dental Professionals
Dewitt Dental Professionals is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1707 W Main St, Yorktown, TX 78164-5127. The NPI number 1376819029 was assigned on March 27, 2012 and the record was last updated on March 27, 2012.
Dewitt Dental Professionals lists a license in the registry: #22869 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Kimberly Marie Koenig, D.D.S., Managing Member.
Frequently asked questions
What is the NPI number of Dewitt Dental Professionals?
The NPI number is 1376819029.
What is the phone number of Dewitt Dental Professionals?
The phone number listed for the practice location is (361) 564-2239.
Where is Dewitt Dental Professionals located?
1707 W Main St, Yorktown, TX 78164-5127.
What is the taxonomy code for Dewitt Dental Professionals?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Yorktown
- John H. Frels, D.D.S.1707 W Main St