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FOUAT BEND DENTAL ASSOCIATES PLLC NPI 1467432575


NPI Information

NPI: 1467432575
Provider Name: FOUAT BEND DENTAL ASSOCIATES, PLLC

Former Legal Business Name: FORT BEND DENTAL ASSOCIATES, PA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3717 TOWNSHIP LANE
MISSOURI CITY, TX
ZIP 77459
Phone: (281) 499-3541
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FOUAT BEND DENTAL ASSOCIATES, PLLC is a general practice dentist in Missouri City, 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. FOUAT BEND DENTAL ASSOCIATES, PLLC NPI is 1467432575. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Fort Bend Dental Associates, Pa.

The provider's business location address is:

3717 TOWNSHIP LANE
MISSOURI CITY, TX
ZIP 77459
Phone: (281) 499-3541
Fax: (281) 605-5956

The provider's authorized official is Dwight D Peccora .
The authorized official title is Doctor/managing Partner and has the following contact phone number (281) 499-3541.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 7/10/2023.


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
11223P0300XDentistPeriodonticsNo
21223E0200XDentistEndodonticsNo
31223S0112XDentistOral and Maxillofacial SurgeryNo
41223G0001XDentistGeneral 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: 5/5/2024

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