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QUAIL VALLEY FAMILY DENTAL NPI 1114310828


NPI Information

NPI: 1114310828
Provider Name: QUAIL VALLEY FAMILY DENTAL

Doing Business As: QUAIL VALLEY FAMILY DENTAL

Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 45D2249045

Address:
2260 FM 1092 RD
MISSOURI CITY, TX
ZIP 77459
Phone: (281) 499-8340
Get Directions

QUAIL VALLEY FAMILY DENTAL is a dentist in Missouri City, TX. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. QUAIL VALLEY FAMILY DENTAL NPI is 1114310828. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Quail Valley Family Dental.

The provider's business location address is:

2260 FM 1092 RD
MISSOURI CITY, TX
ZIP 77459-802
Phone: (281) 499-8340

The provider's authorized official is Khalilah Nathanisha Mcafee .
The authorized official title is Owner/general Dentist and has the following contact phone number (281) 499-8340.

The CLIA number assigned to this NPI record is 45D2249045 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 3/5/2015.


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
1122300000XDentist21817TEXASYes

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
13391971MEDICAIDTEXAS

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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