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ROBERT FLETCHER PLLC NPI 1265890362


NPI Information

NPI: 1265890362
Provider Name: ROBERT FLETCHER, PLLC

Doing Business As: KENEDY FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
131 BUSINESS PARK BLVD STE 600
KENEDY, TX
ZIP 78119
Phone: (830) 299-3848
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ROBERT FLETCHER, PLLC is a general practice dentist in Kenedy, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ROBERT FLETCHER, PLLC NPI is 1265890362. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kenedy Family Dental.

The provider's business location address is:

131 BUSINESS PARK BLVD STE 600
KENEDY, TX
ZIP 78119-512
Phone: (830) 299-3848
Fax: (830) 299-3859

The provider's authorized official is Robert Fletcher .
The authorized official title is Dentist Owner and has the following contact phone number (830) 299-3848.

The enumeration date for this NPI number is 2/3/2016 and was last updated on 2/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11578878559MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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