# DENTAL AESTHETICS OF TEXAS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265790539
- **Authorized official:** DEREK TILLMAN D.M.D. (MANAGER)
- **Authorized official phone:** (713) 444-7768

## Contact information

- **Practice address:** 6120 SCOTT ST STE B, HOUSTON, TX 77021-2698
- **Practice address phone:** (713) 444-7768
- **Mailing address:** PO BOX 300448, HOUSTON, TX 77230-0448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 12/01/2012