MEMORIAL DENTAL CARE, PLLC (NPI# 1528557998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528557998 |
| Entity Type | Organization |
| Organization Name | MEMORIAL DENTAL CARE, PLLC |
| Other Organization Name | MEMORIAL DENTAL CARE & ORTHODONTICS |
| Practice Address |
14441 Memorial Dr Ste 11 Houston TX 77079-6737 |
| Practice Telephone | 2814931550 |
| Mailing Telephone | 2814931550 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. CAMERON WALLACE (PRESIDENT) |
| Authorized Official Telephone | 8172354625 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23910 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Memorial Dental Care | Doing Business As Name - Organization |
| Memorial Dental Care & Orthodontics | Doing Business As Name - Organization |
| Street Address |
14441 MEMORIAL DR STE 11 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-6737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242923 | Exquisite Dental Smiles Pllc | Dentist | 2200 Aldine Mail Route Rd # 106, Houston, TX 77039 | 2020-10-15 |
| 1568069094 | Vintage Smile Family Dentistry | Dentist | 10300 Louetta Rd, Houston, TX 77070-2121 | 2020-10-07 |
| 1093322836 | Lan Hoang Dao | Dentist | 6711 Mission Bell Dr, Houston, TX 77083-2524 | 2020-09-25 |
| 1871107714 | Nbnl Dental Pllc | Dentist | 4400 North Fwy Spc C300, Houston, TX 77022-3649 | 2020-09-08 |
| 1780293613 | Namrata Rathod | Dentist | 1255 Eldridge Pkwy Apt 126, Houston, TX 77077-2161 | 2020-07-27 |
| 1104434752 | Pavana Kulathanal Chakrapani | Dentist | 1072 Federal Rd, Houston, TX 77015-4804 | 2020-07-20 |
| 1821606039 | Po-lin Yang | Dentist | 4500 Washington Ave Ste 700, Houston, TX 77007-5478 | 2020-07-14 |
| 1053939637 | Anusha Joseph | Dentist | 306 Woodcombe Dr, Houston, TX 77062-2540 | 2020-07-09 |
| 1508482860 | Garcia- Alcover Dental Pllc | Dentist | 6720 Chimney Rock Rd Ste S, Houston, TX 77081-5640 | 2020-06-23 |
| 1205452893 | Linh Ngoc Pham | Dentist | 9207 Meadow Branch Ct, Houston, TX 77095-2753 | 2020-06-19 |
| Find all providers in HOUSTON | ||||
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| 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.