DR. JAI KRISHNA SRIKANTH KOLLIBOYANA DDS
NPI 1194379271
Dentist - General Practice in San Angelo, TX

Q: What is Jai Krishna Srikanth Kolliboyana's NPI number?

The NPI number for Jai Krishna Srikanth Kolliboyana is 1194379271. It was assigned to this individual provider in the NPPES registry on July 28, 2019.

Q: What is Jai Krishna Srikanth Kolliboyana's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 28, 2019

4403 SHERWOOD WAY, SAN ANGELO, TX 76901(325) 308-6337 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2022, Jul 28, 2019 (2 updates tracked since 2019).

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About Dr. Jai Krishna Srikanth Kolliboyana Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAI KRISHNA SRIKANTH KOLLIBOYANA DDS (NPI 1194379271) is an individual general practice provider in San Angelo, Texas, licensed in Texas (36098) and active in the NPI registry since July 2019. He maintains a secondary practice location in Kemah.

NPPES Registry Identity

NPI1194379271

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAI KRISHNA SRIKANTH KOLLIBOYANACredential: DDS

Location Address4403 SHERWOOD WAYSan Angelo, TX 76901-5616

Mailing Address4300 Cromwell Dr Apt 3210Kyle, TX 78640-6496 · (989) 423-4811

Phone(325) 308-6337

Sole ProprietorNo

Enumeration DateJuly 28, 2019

Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2022

✔ NPI 1194379271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 36098

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 019.032253 (IL)

4403 SHERWOOD WAY, San Angelo, TX 76901

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Secondary Practice Location 1

Location 1401 Fm 518 Rd Ste AKemah, TX 77565-3281 · Phone (281) 957-7488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH MESA DENTAL, PC

Dentist (General Practice)