Provider Type Icon

GALVESTON DENTAL PC NPI 1942525209


NPI Information

NPI: 1942525209
Provider Name: GALVESTON DENTAL PC

Doing Business As: AFFORDABLE DENTAL GALVESTON

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5934 BROADWAY ST
GALVESTON, TX
ZIP 77551
Phone: (409) 740-7744
Get Directions

GALVESTON DENTAL PC is a general practice dentist in Galveston, 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. GALVESTON DENTAL PC NPI is 1942525209. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Affordable Dental Galveston.

The provider's business location address is:

5934 BROADWAY ST
GALVESTON, TX
ZIP 77551-305
Phone: (409) 740-7744
Fax: (409) 744-4541

The provider's authorized official is Kenneth Osamor .
The authorized official title is President and has the following contact phone number (409) 740-0171.

The enumeration date for this NPI number is 3/30/2010 and was last updated on 9/30/2015.


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 Practice21886TEXASYes

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
1210631201MEDICAIDTEXAS

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.