Carolyn Kerins, DDS,PHD | |
3302 Gaston Ave, Room 203a, Dallas, TX 75246-2013 | |
(214) 828-8133 | |
(214) 874-4508 |
Full Name | Carolyn Kerins |
---|---|
Gender | Female |
Speciality | Dentist - Pediatric Dentistry |
Location | 3302 Gaston Ave, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457407181 | NPI | - | NPPES |
1457407181 | Medicaid | TX | |
162250802 | Medicaid | TX | |
162250805 | Medicaid | TX | |
1295777324 | Medicaid | TX | |
20883 | Other | TX | CDC CHIP |
126726206 | Medicaid | TX | |
162250804 | Medicaid | TX | |
1134162746 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 20883 (Texas) | Primary |
Entity Name | Texas Scottish Rite Hospital For Crippled Children |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598188948 PECOS PAC ID: 0446422844 Enrollment ID: O20140505001295 |
Mailing Address | Practice Location Address |
---|---|
Carolyn Kerins, DDS,PHD 3302 Gaston Ave, Room 203a, Dallas, TX 75246-2013 Ph: (214) 828-8133 | Carolyn Kerins, DDS,PHD 3302 Gaston Ave, Room 203a, Dallas, TX 75246-2013 Ph: (214) 828-8133 |
Dr. Aaron Kent Ip, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy, Ste 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-488-1899 | |
Dr. David M Alameel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-243-6059 | |
Dr. James T Spillman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6316 Gaston Ave, Dallas, TX 75214 Phone: 214-823-5253 | |
Nicole L Benson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8620 Skillman St, Dallas, TX 75243 Phone: 214-341-0900 Fax: 214-580-5202 | |
Dr. Brent Steven Desutter, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 718 N Buckner Blvd Ste 110, Dallas, TX 75218 Phone: 214-295-8440 | |
Courtney Cunningham Ellis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1777 N Record St Apt 2402, Dallas, TX 75202 Phone: 806-570-0488 | |
Dr. Tae Eun You, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 S Buckner Blvd, Ste 223, Dallas, TX 75217 Phone: 214-391-6868 |