# KIAN NIKDEL DDS MSD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Jackson Root canal Specialists, Lake Jackson Root Canal Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942721535
- **Authorized official:** DR. KIAN NIKDEL DDS MSD (MANAGING DIRECTOR)
- **Authorized official phone:** (832) 762-5072

## Contact information

- **Practice address:** 115 N DIXIE DR STE 200, LAKE JACKSON, TX 77566-5958
- **Practice address phone:** (979) 236-4222
- **Mailing address:** 115 N DIXIE DR STE 200, LAKE JACKSON, TX 77566-5958
- **Mailing address phone:** (979) 297-0633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 32482 | TX | Yes |

## Other

- **Enumeration date:** 07/04/2017
- **Last updated:** 07/21/2022