Organization · Type 2 NPI

South Texas Family Dentistry LLC

Pediatric Dentistry · Houston, TX

NPI number 1629451653 Active

Practice location

8200 Wednesbury Ln Ste 108
Houston, TX 77074-2931

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	23077 (TX)
Case Management Agency	251B00000X	23077 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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NPI record

NPI: 1629451653
Entity type: Organization (Type 2)
Issued: Jul 8, 2015
Last updated: Aug 26, 2021
Status: Active

Other names

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South Texas Family Dentistry · doing business as
South Texas Family Dentistry · doing business as

Authorized official

Shervin Amini
Credentialing Spcialist
(713) 647-8199

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629451653

South Texas Family Dentistry LLC's National Provider Identifier is 1629451653, issued on Jul 8, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Houston, TX. The record was last updated on Aug 26, 2021.