RIVERS EDGE DENTAL P.C. NPI 1225624505

NPI Information

  • NPI: 1225624505
  • Provider Name: RIVERS EDGE DENTAL, P.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 3403 RIVERS EDGE TRL
    KINGWOOD, TX
    ZIP 77339
  • Phone: (281) 361-0102

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NPI Details

RIVERS EDGE DENTAL, P.C. is a general practice dentist in Kingwood, 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. RIVERS EDGE DENTAL, P.C. NPI is 1225624505. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3403 RIVERS EDGE TRL
KINGWOOD, TX
ZIP 77339-634
Phone: (281) 361-0102

The provider's authorized official is Dale Mayfield .
The authorized official title is President and has the following contact phone number (770) 916-5036.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 12/21/2020.

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
11223E0200XDentistEndodonticsNo
21223G0001XDentistGeneral PracticeYes
31223P0221XDentistPediatric DentistryNo
41223S0112XDentistOral and Maxillofacial SurgeryNo
51223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo

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

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