AIRLINE DENTAL CLINIC NPI 1710011259

NPI Information

  • NPI: 1710011259
  • Provider Name: AIRLINE DENTAL CLINIC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 5990 AIRLINE DR
    SUITE 180
    HOUSTON, TX
    ZIP 77076
  • Phone: (713) 694-8333

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NPI Details

AIRLINE DENTAL CLINIC is a general practice dentist in Houston, 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. AIRLINE DENTAL CLINIC NPI is 1710011259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5990 AIRLINE DR
SUITE 180
HOUSTON, TX
ZIP 77076-233
Phone: (713) 694-8333
Fax: (713) 694-8362

The provider's authorized official is Irasema Campa .
The authorized official title is Administrative Assistant and has the following contact phone number (713) 697-2631.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 2/1/2012.

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 Practice16842TEXASNo
21223G0001XDentistGeneral Practice22558TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1177617101MEDICAIDTEXAS
2169622101MEDICAIDTEXAS
3009806301MEDICAIDTEXAS

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: 3/30/2025

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