Provider Demographics
NPI:1417220963
Name:KACHER ADULT DENTISTRY PLLC
Entity Type:Organization
Organization Name:KACHER ADULT DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DETIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:KACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-292-1605
Mailing Address - Street 1:4223 RESEARCH FOREST DR STE 500
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4558
Mailing Address - Country:US
Mailing Address - Phone:281-292-1605
Mailing Address - Fax:281-292-7372
Practice Address - Street 1:4223 RESEARCH FOREST DR STE 500
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4558
Practice Address - Country:US
Practice Address - Phone:281-292-1605
Practice Address - Fax:281-292-7372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21868261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental