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IMMANUEL DENTAL CENTER NPI 1942527213


NPI Information

NPI: 1942527213
Provider Name: IMMANUEL DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1147 CLEAR LAKE CITY BLVD
HOUSTON, TX
ZIP 77062
Phone: (281) 286-5867
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IMMANUEL DENTAL CENTER is a general practice dentist in Houston, TX. The provider is 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. IMMANUEL DENTAL CENTER NPI is 1942527213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1147 CLEAR LAKE CITY BLVD
HOUSTON, TX
ZIP 77062-102
Phone: (281) 286-5867
Fax: (281) 286-6551

The provider's authorized official is Nagy B Ghattas .
The authorized official title is Dentists and has the following contact phone number (281) 286-5867.

The enumeration date for this NPI number is 4/27/2010 and was last updated on 4/27/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeTEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1163581501MEDICAIDTEXAS

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

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