SOUTH HOUSTON ORAL,FACIAL&IMPLANT SURGERY CENTER


Address: 2537 Houston Ave, Pearland, TX 77581-4231
Phone: 2814120099

SOUTH HOUSTON ORAL,FACIAL&IMPLANT SURGERY CENTER (NPI# 1255719100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255719100
Entity Type Organization
Organization Name SOUTH HOUSTON ORAL,FACIAL&IMPLANT SURGERY CENTER
Practice Address 2537 Houston Ave
Pearland
TX 77581-4231
Practice Telephone 2814120099
Enumeration Date 2015-05-12
Last Update Date 2015-05-12
Authorized Official Name LUIS CRAIG (ORAL&MAXILLOFACIAL SURGERY)
Authorized Official Telephone 2155181026
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
23228 TX Ambulatory Health Care Facilities

Office Location

Street Address 2537 HOUSTON AVE
City PEARLAND
State TX
Zip Code 77581-4231

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1902460611 Areli Dominguez Behavior Technician 6516 Broadway Street, Suite 112, Perland, TX 77581 2019-04-29
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1386155398 Tekisha Murphy Nurse Practitioner 2812 Afton Drive, Pearland, TX 77581 2017-10-17
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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962028142 Crownridge Dental Clinic/Center 6827 Camp Bullis Rd Ste 302, San Antonio, TX 78256-1730 2020-06-23
1811491244 Stephen Barker Dds Pllc Clinic/Center 9803 Highway 242 Ste 700, Conroe, TX 77385-4370 2018-03-21
1144758954 Telfair Oral and Maxillofacial Surgery Pllc Clinic/Center 13440 University Blvd Ste 250, Sugar Land, TX 77479-4798 2017-05-24
1578973483 Mazen Duraini, Dds, Md, Pllc Clinic/Center 6753 Cabrillo, Irving, TX 75039-3223 2014-04-30
1912221029 Sharon H Ornstein, Dds, Pa Clinic/Center 6351 N Preston Rd, Suite 200, Fisco, TX 75034 2010-03-18
1437397148 Oral & Maxillofacial Surgery Affiliates, P.C. Clinic/Center 7030 Sanger Ave, Suite 100, Waco, TX 76712 2009-02-03
1912150111 Waterford Dental Specialists, Pllc Clinic/Center 5246 S. 31st St., Temple, TX 76502 2008-10-31
1790778314 Aesthetic Oral & Facial Surgical Center of The Southwest, PC Clinic/Center 1850 Keller Pkwy, Suite 102, Keller, TX 76248-3706 2005-08-30
1396344933 Twtsa, LLC. Clinic/Center 6025 Harris Pkwy, Fort Worth, TX 76132-4103 2020-10-24
1063987626 River City Oral and Maxillofacial Surgery, Pllc Clinic/Center 5418 N Loop 1604 E, Suite 101, San Antonio, TX 78023 2018-10-10
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Competitor

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City PEARLAND
Zip Code 77581

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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