NORTHWEST PEDIATRIC DENTAL NPI 1346409489

NPI Information

NPI: 1346409489
Provider Name: NORTHWEST PEDIATRIC DENTAL
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
17222 RED OAK DR
SUITE 104
HOUSTON, TX
ZIP 77090
Phone: (281) 583-4600
Get Directions

NORTHWEST PEDIATRIC DENTAL 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. NORTHWEST PEDIATRIC DENTAL NPI is 1346409489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17222 RED OAK DR
SUITE 104
HOUSTON, TX
ZIP 77090-648
Phone: (281) 583-4600
Fax: (281) 586-7051

The provider's authorized official is Maria A Green .
The authorized official title is Owner and has the following contact phone number (281) 583-4600.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 6/4/2008.

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	20388	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	1487709556	MEDICAID	TEXAS
2	1619062718	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: 11/14/2023

NPI Synchronization or Removal

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