Provider Demographics
NPI:1114013299
Name:KANEIRA, APRIL L (DDS)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:L
Last Name:KANEIRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 MARINER CT
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-5469
Mailing Address - Country:US
Mailing Address - Phone:214-914-0813
Mailing Address - Fax:
Practice Address - Street 1:950 S FM 156 STE 10
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-7042
Practice Address - Country:US
Practice Address - Phone:406-488-6689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX752935208OtherTAX ID