Provider Demographics
NPI:1629422969
Name:SMALL, KARA (DDS)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:SMALL
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 1:2001 WESTHEIMER RD APT 521
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1649
Mailing Address - Country:US
Mailing Address - Phone:281-799-7714
Mailing Address - Fax:
Practice Address - Street 1:9630 N. SAM HOUSTON PARKWAY E
Practice Address - Street 2:BUILDING B
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-7739
Practice Address - Country:US
Practice Address - Phone:281-359-9900
Practice Address - Fax:281-359-9903
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31766122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist