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LONE STAR DENTAL ANESTHESIA
NPI 1295210573
Dentist - Dentist Anesthesiologist in Richardson, TX

Active since October 02, 2018
4112 E RENNER RD, RICHARDSON, TX 75082(972) 536-3972 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lone Star Dental Anesthesia NPPES

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

LONE STAR DENTAL ANESTHESIA (NPI 1295210573) is a healthcare organization registered as a dentist anesthesiologist in Richardson, Texas and active in the NPI registry since October 2018. The organization lists Jinsoo Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1295210573
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameLONE STAR DENTAL ANESTHESIA
Location Address4112 E RENNER RDRichardson, TX 75082-2832
Mailing Address4112 E Renner RdRichardson, TX 75082-2832 · (972) 536-3972
Phone(972) 536-3972
Organization SubpartNo
Authorized OfficialJinsoo KimOwner · (972) 536-3972
Enumeration DateOctober 2, 2018
✔ NPI 1295210573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
4112 E RENNER RD, Richardson, TX 75082
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. HASAN ZIA D.D.S
Dentist (Dentist Anesthesiologist)
4112 E RENNER RD
RICHARDSON, TX 75082
Dallas County (972) 536-3972
MR. JINSOO KIM DDS
Dentist (Dentist Anesthesiologist)
4112 E RENNER RD
RICHARDSON, TX 75082
Dallas County (972) 480-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lone Star Dental Anesthesia's NPI number?

The NPI number for Lone Star Dental Anesthesia is 1295210573. It was assigned to this organization in the NPPES registry on October 2, 2018.

Where is Lone Star Dental Anesthesia located?

Lone Star Dental Anesthesia is located at 4112 E Renner Rd, Richardson, TX 75082. The listed phone number is (972) 536-3972.

What is Lone Star Dental Anesthesia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Lone Star Dental Anesthesia was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.