Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730553397 Individual Practitioner Male Practitioner

Dr. Ilan Kiselstein , DDS

Dentist - General Practice • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ilan Kiselstein, DDS is a registered healthcare professional specializing in Dentist - General Practice in Amarillo, TX. Practice services are available at 850 MARTIN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

850 Martin Rd

Amarillo, TX 791076814

Telephone 8063747341
Fax 8063222485
Associated Practice Facility / Clinic
🏢 Regence Health Network, Inc. Facility NPI 1295952018

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
77 Specialists

Practicing in Amarillo, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 31408

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
NPI 1003511106

Doctor of Dental Surgery

Dr. Olivia Kelly , DDS

Dentist - General Practice

NPI 1023781101

Doctor of Dental Surgery

Tanya Deleon , FNP

Nurse Practitioner - Family

NPI 1073840427

Family Nurse Practitioner

Bennie Chavez

Family Medicine

NPI 1114925443
Melissa Aguirre-Holland , FNP

Nurse Practitioner - Family

NPI 1194021253

Family Nurse Practitioner

Dr. Julito Uy , MD

Internal Medicine

NPI 1245262443

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2017

Registered at 850 MARTIN RD, AMARILLO, TX 791076814 (Tel: 8063747341)

📍
Updated Business Mailing Address January 26, 2017

Registered at 2801 W 8TH ST, PLAINVIEW, TX 790726737 (Tel: 8063747341)

👤
Provider Name / Credentials Updated January 26, 2017

Recorded as ILAN KISELSTEIN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2017

Dentist (License #31408 in TX)

NPI Profile Active November 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2015

Registered at 5004 COLUMBIA AVE, 101, DALLAS, TX 752145556 (Tel: 2148211800)

📍
Updated Business Mailing Address November 19, 2015

Registered at 5004 COLUMBIA AVE, 101, DALLAS, TX 752145556 (Tel: 2148211800)

👤
Provider Name / Credentials Updated November 19, 2015

Recorded as ILAN KISELSTEIN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2015

Dentist (License #31408 in TX)

🟢
Initial NPI Registration & Enumeration November 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730553397
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2015
Last Update: January 26, 2017
Sole Proprietor: No

Mailing Address

2801 W 8th St

Plainview, TX 790726737

Phone: 8063747341

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.