ST. JUDE DENTAL P.C NPI 1053637199

NPI Information

NPI: 1053637199
Provider Name: ST. JUDE DENTAL P.C
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8420 S SAM HOUSTON PKWY W STE 260
HOUSTON, TX
ZIP 77085
Phone: (972) 224-5397
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ST. JUDE DENTAL P.C is a dental clinic center in Houston, TX. ST. JUDE DENTAL P.C NPI is 1053637199. The provider is registered as an organization entity type.

The provider's business location address is:

8420 S SAM HOUSTON PKWY W STE 260
HOUSTON, TX
ZIP 77085-283
Phone: (972) 224-5397
Fax: (972) 224-0344

The provider's authorized official is Emeka Jude Abazie .
The authorized official title is Dentist and has the following contact phone number (972) 224-5397.

The enumeration date for this NPI number is 4/14/2010 and was last updated on 4/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	22568	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1578657763	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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