# FORT BEND DENTAL GRAND PARKWAY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Bend Dental Grand Parkway, PLLC, Fort Bend Dental Sweetwater
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831789387
- **Authorized official:** MR. DWIGHT D PECCORA DDS (DOCTOR/MANAGING PARTNER)
- **Authorized official phone:** (281) 499-3541

## Contact information

- **Practice address:** 7417 W GRAND PARKWAY S, STE 140, RICHMOND, TX 77407
- **Practice address phone:** (281) 232-8300
- **Practice address fax:** (281) 605-5956
- **Mailing address:** 7417 W GRAND PARKWAY S, STE 140, RICHMOND, TX 77407
- **Mailing address phone:** (281) 232-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 07/10/2023
