Organization
KINGWOOD DENTAL SPECIALISTS PC
Active
Other names
Greater Houston Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY KEEFER (ACCOUNTS RECEIVABLE MGR)
(832) 399-7450
Entity
Organization
Contact information
Practice address
1414 GREEN OAK TERRACE CT STE 400, KINGWOOD, TX 77339-2960
(281) 359-1011
Mailing address
1414 GREEN OAK TERRACE CT STE 400, KINGWOOD, TX 77339-2960
(281) 359-1011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22853
TX
1223P0300X
Periodontics
19503
TX
1223P0300X
Periodontics
22814
TX
1223P0700X
Prosthodontics
Primary
18851
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11684
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22605
TX
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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