Provider Demographics
NPI:1891586657
Name:KUMAR HIREMATH DDS PA
Entity type:Organization
Organization Name:KUMAR HIREMATH DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DWIDESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HIREMATH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-697-5166
Mailing Address - Street 1:151 RIDGE POINT PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-8801
Mailing Address - Country:US
Mailing Address - Phone:817-697-5166
Mailing Address - Fax:844-223-3235
Practice Address - Street 1:151 RIDGE POINT PKWY STE 100
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-8801
Practice Address - Country:US
Practice Address - Phone:817-697-5166
Practice Address - Fax:844-223-3235
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KUMAR HIREMATH DDS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty