Organization · Type 2 NPI

Port Lavaca Dentistry PLLC

Dentist · Port Lavaca, TX

NPI number 1881005296 Active

Practice location

1606 N Virginia St
Port Lavaca, TX 77979

Fax (888) 276-1646

Mailing address

Attn: Credentialing, 2403 Lacy Lane
Carrollton, TX 75006

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X27025 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1881005296

Port Lavaca Dentistry PLLC's National Provider Identifier is 1881005296, issued on May 20, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Port Lavaca, TX. The record was last updated on Dec 4, 2025.