DR. TEPPHANIE PHIMEANS THACH DMD NPI 1073673281

NPI Information

NPI: 1073673281
Provider Name: DR. TEPPHANIE PHIMEANS THACH, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
383 GREENS RD STE A
HOUSTON, TX
ZIP 77060
Phone: (281) 872-3777
Get Directions

DR. Tepphanie Phimeans Thach, DMD is a pediatric dentistry dentist in Houston, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Tepphanie Phimeans Thach, DMD NPI is 1073673281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

383 GREENS RD STE A
HOUSTON, TX
ZIP 77060-907
Phone: (281) 872-3777

The enumeration date for this NPI number is 12/11/2006 and was last updated on 7/18/2011.

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	1223P0221X	Dentist	Pediatric Dentistry	DN012969	GEORGIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	0023074	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	100201	OTHER	GEORGIA	AVESIS MEDICAID
2	609422190A	MEDICAID	GEORGIA
3	9181147	OTHER	GEORGIA	DORAL MEDICAID

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: 11/14/2023

NPI Synchronization or Removal

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