FWB DENTAL P.L.L.C. NPI 1013458983

NPI Information

  • NPI: 1013458983
  • Provider Name: FWB DENTAL, P.L.L.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: BAYBROOK MALL DENTAL
  • Address: 1012 BAYBROOK MALL
    FRIENDSWOOD, TX
    ZIP 77546
  • Phone: (281) 461-6515

Map and Directions

Get Directions

NPI Details

FWB DENTAL, P.L.L.C. is a general practice dentist in Friendswood, 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. FWB DENTAL, P.L.L.C. NPI is 1013458983. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Baybrook Mall Dental.

The provider's business location address is:

1012 BAYBROOK MALL
FRIENDSWOOD, TX
ZIP 77546-744
Phone: (281) 461-6515
Fax: (281) 461-6687

The provider's authorized official is Vlada Matytsin .
The authorized official title is Owner/dentist and has the following contact phone number (281) 461-6515.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 3/13/2017.

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
11223G0001XDentistGeneral Practice30466TEXASYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI