Provider Demographics
NPI:1528076817
Name:K&M DENTAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:K&M DENTAL ASSOCIATES, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:MCCARRON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-821-3830
Mailing Address - Street 1:4123 ABRAMS RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2608
Mailing Address - Country:US
Mailing Address - Phone:214-821-3830
Mailing Address - Fax:214-821-3861
Practice Address - Street 1:4123 ABRAMS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2608
Practice Address - Country:US
Practice Address - Phone:214-821-3830
Practice Address - Fax:214-821-3861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty