Provider Type Icon

CENTRA TWO DENTAL NPI 1174787378


NPI Information

NPI: 1174787378
Provider Name: CENTRA TWO DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5103 BROADWAY ST
109
PEARLAND, TX
ZIP 77581
Phone: (281) 485-7767
Get Directions

CENTRA TWO DENTAL is a general practice dentist in Pearland, 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. CENTRA TWO DENTAL NPI is 1174787378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5103 BROADWAY ST
109
PEARLAND, TX
ZIP 77581-900
Phone: (281) 485-7767
Fax: (281) 485-7745

The provider's authorized official is Hiep Duy Pham .
The authorized official title is Owner and has the following contact phone number (281) 485-7767.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 7/16/2008.


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
11223G0001XDentistGeneral Practice19860TEXASYes

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: 5/5/2024

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.