# FOUAT BEND DENTAL ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Bend Dental Associates, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467432575
- **Authorized official:** MR. DWIGHT D PECCORA DDS (DOCTOR/MANAGING PARTNER)
- **Authorized official phone:** (281) 499-3541

## Contact information

- **Practice address:** 3717 TOWNSHIP LANE, MISSOURI CITY, TX 77459
- **Practice address phone:** (281) 499-3541
- **Practice address fax:** (281) 605-5956
- **Mailing address:** 3717 TOWNSHIP LANE, MISSOURI CITY, TX 77459
- **Mailing address phone:** (281) 499-3541
- **Mailing address fax:** (281) 499-3533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 07/10/2023