Individual provider · Type 1 NPI

Ken Furudate, DMD, PhD

Oral and Maxillofacial Surgery (Dentist) · Houston, TX

NPI number 1235095142 Active

Practice location

1515 Holcombe Blvd
Houston, TX 77030-4000

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNONE (TX)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNONE (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1235095142

Ken Furudate, DMD, PhD's National Provider Identifier is 1235095142, issued on Jan 5, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Houston, TX. The record was last updated on Jan 5, 2026.