Jacob K Kruvilla
Fundamental Dental · Dentist (General Practice)

Address: 11613 N Central Expy Ste 111a, Dallas, TX 75243-3808
Phone: 9723600096

Jacob K Kruvilla (NPI# 1861094518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1861094518
Entity Type Organization
Organization Name JACOB K KRUVILLA
Other Organization Name FUNDAMENTAL DENTAL
Practice Address 11613 N Central Expy Ste 111a
TX 75243-3808
Practice Telephone 9723600096
Mailing Address 11613 N Central Expy Ste 111a
TX 75243-3808
Mailing Telephone 9723600096
Authorized Official Name Dr. Jacob Jose Kruvilla (OWNER/DOCTOR)
Authorized Official Telephone 9723600096
Authorized Official Credential DDS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-09
Last Update Date 2020-11-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223G0001X Dentist · General Practice Dental Providers

Other Provider/Organization Names

Other Name Type Code
Fundamental Dental Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609476183 Texas Saas Pa Dentist 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 2020-10-26
1619589629 Bahar Iranmehr Dentist 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 2020-08-20
1598377657 John Arthur Bounds IIi Dentist 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 2020-08-20
1023628633 Allison Yost Dentist 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 2020-08-07
1669082905 Jacob Hornberger Dentist 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 2020-08-02
1992323257 Duncanville Dental Pllc Dentist 5409 N Jim Miller Rd Ste 105, Dallas, TX 75227-1500 2020-07-13
1346862117 Cyprian Chibuzor Okobi Jr. Dentist 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 2020-05-14
1316577463 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 5225 Belt Line Rd Ste 222, Dallas, TX 75254-1436 2020-01-16
1598312589 Laura Gabriela Choque Dentist 9030 Southwestern Blvd Apt 3225, Dallas, TX 75214-1542 2019-08-23
1326694894 Blake Collier Burnstad Dentist 7013 Kenwell St, Dallas, TX 75209-4840 2019-08-12
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Office Location

Street Address 11613 N CENTRAL EXPY STE 111A
State TX
Zip Code 75243-3808

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558970830 Nnamdi Okorie Licensed Vocational Nurse Danefergu@yahoo.com, 13427 Hedgeapple Dr, Dallas, TX 75243 2020-07-23
1629627716 Mohammad Mehdi Imani Emadi Dentist 11970 N Central Expy # 430, Dallas, TX 75243 2019-09-10
1295221786 Cornerstonemd,pllc Obstetrics & Gynecology 12222 N Central Expy Ste 140, Dallas, TX 75243 2018-07-08
1033609292 Mother Earth Healthcare Services Inc Home Health 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 2018-05-14
1346742822 Chioma Ifeji Licensed Vocational Nurse 13317 Daystrom Court, Dallas, TX 75243 2018-03-01
1598282865 Kimberly Ann Whitney Social Worker 11520 N Central Expy Ste 254, Dallas, TX 75243 2017-08-27
1962934083 Dignity Private Care, LLC In Home Supportive Care 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 2017-03-29
1699214569 Vitalis Home Health LLC Home Health 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 2017-02-13
1881130946 Proniles Non-emergency Medical Transport (VAN) 12611 Hornbeam Dr, Dallas, TX 75243 2017-01-13
1194273664 Osman W Awdallah Non-emergency Medical Transport (VAN) 12611 Hornbeam Drive, Dallas, TX 75243 2016-09-14
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Zip Code 75243

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.