Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164952032 Individual Practitioner Male Practitioner

Dr. Jacob Jose Kuruvilla , DMD

Dentist • Dallas, TX

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Kuruvilla, DMD is a registered healthcare professional specializing in Dentist in Dallas, TX. Official NPI practice address is registered at 1110 S CESAR CHAVEZ BLVD APT 3050.

Practice Location & Contact Primary Location

Practice Address

1110 S Cesar Chavez Blvd Apt 3050

Dallas, TX 752016089

Telephone 6317429840
Associated Practice Facility / Clinic
🏢 Jacob K Kruvilla Facility NPI 1861094518

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
470 Specialists

Practicing in Dallas, TX (6851 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

CMS Verified: 2020-07-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 33117

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License PA DS041245

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address July 08, 2020

Registered at 11613 N CENTRAL EXPY STE 111A, DALLAS, TX 752433808 (Tel: 6317429840)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2020

Dentist (License #DS041245 in PA)

NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2017

Registered at 1110 S CESAR CHAVEZ BLVD APT 3050, DALLAS, TX 752016089 (Tel: (631) 742-9840)

📍
Updated Business Mailing Address June 14, 2017

Registered at 1110 S CESAR CHAVEZ BLVD APT 3050, DALLAS, TX 752016089 (Tel: 6317429840)

👤
Provider Name / Credentials Updated June 14, 2017

Recorded as JACOB KURUVILLA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Dentist (License #33117 in TX)

🟢
Initial NPI Registration & Enumeration June 14, 2017

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: 1164952032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

11613 N Central Expy Ste 111a

Dallas, TX 752433808

Phone: 6317429840

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.