GULF COAST ENDODONTICS NPI 1952602682

NPI Information

  • NPI: 1952602682
  • Provider Name: GULF COAST ENDODONTICS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • CLIA Number: 45D2296820
  • Address: 4949 FAIRMONT PKWY
    STE. 215
    PASADENA, TX
    ZIP 77505
  • Phone: (832) 379-2696

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NPI Details

GULF COAST ENDODONTICS is an endodontics dentist in Pasadena, TX. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. GULF COAST ENDODONTICS NPI is 1952602682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4949 FAIRMONT PKWY
STE. 215
PASADENA, TX
ZIP 77505-757
Phone: (832) 379-2696
Fax: (832) 379-2697

The provider's authorized official is Matthew C Haddad .
The authorized official title is Owner and has the following contact phone number (832) 379-2696.

The CLIA number assigned to this NPI record is 45D2296820 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2010 and was last updated on 11/11/2010.

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
11223E0200XDentistEndodontics25356TEXASYes

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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