THE TOOTH LODGE NPI 1356218804

NPI Information

  • NPI: 1356218804
  • Provider Name: THE TOOTH LODGE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 6820 FM 2920 STE 190
    SPRING, TX
    ZIP 77379
  • Phone: (346) 298-7679

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NPI Details

THE TOOTH LODGE is a general practice dentist in Spring, 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. THE TOOTH LODGE NPI is 1356218804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6820 FM 2920 STE 190
SPRING, TX
ZIP 77379
Phone: (346) 298-7679
Fax: (346) 298-7680

The provider's authorized official is Afreen Ansari .
The authorized official title is Dentist and has the following contact phone number (346) 298-7679.

The enumeration date for this NPI number is 10/20/2025 and was last updated on 10/20/2025.

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 PracticeYes

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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