WILLOW CREEK SMILES PLLC (NPI# 1467943266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467943266 |
Entity Type | Organization |
Organization Name | WILLOW CREEK SMILES PLLC |
Practice Address |
9166 Farm To Market 2920 Rd Suite 900 Tomball TX 77375 |
Mailing Address |
11146 Hillside Glen Trl Houston TX 77065-5022 |
Practice Telephone | 2815168575 |
Mailing Telephone | 7138586438 |
Enumeration Date | 2018-05-29 |
Last Update Date | 2018-05-29 |
Authorized Official Name | DR. TOM NGUYEN (MANAGER) |
Authorized Official Telephone | 7138586438 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
30350 | TX | Ambulatory Health Care Facilities |
Street Address |
9166 FARM TO MARKET 2920 RD SUITE 900 |
City | TOMBALL |
State | TX |
Zip Code | 77375 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
1386191435 | Christina Ho | Dentist | 28602 Tomball Parkway, Ste B, Tomball, TX 77375 | 2016-09-07 |
Find all providers in zip 77375 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720480502 | Fernando Perez Dmd Pllc | Clinic/Center | 24225 Kuykendahl Rd., Suite 100, Tomball, TX 77375 | 2014-09-23 |
1346889409 | Northampton Dental Pllc | Clinic/Center | 24036 Kuykendahl Rd Ste 300, Tomball, TX 77375-5374 | 2020-01-06 |
1528432150 | Dentistry of Creekside Park, Pllc | Clinic/Center | 26400 Kuykendahl Rd, Suite C210, Tomball, TX 77375-2882 | 2015-11-19 |
1346529526 | Mark H Copas Dds | Clinic/Center | 14025 1/2 Fm 2920 Rd, Tomball, TX 77377-5501 | 2011-08-05 |
1699861153 | Aphado Orthodontics, L.p. | Clinic/Center | 739 James St, Tomball, TX 77375-4549 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053587 | David Cheng, Pllc | Clinic/Center | 1708 Spring Green Blvd Ste 195, Katy, TX 77494-7462 | 2020-11-04 |
1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
1821698788 | All About Smiles Pllc | Clinic/Center | 6420 N Macarthur Blvd Ste 120, Irving, TX 75039-2838 | 2020-10-29 |
1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
1154920023 | Deja Opusunju Dmd Pllc | Clinic/Center | 25031 Westheimer Pkwy Ste 200, Katy, TX 77494-7317 | 2020-10-22 |
1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
1962009373 | Woodforest Dental Loft | Clinic/Center | 2300 Woodforest Pkwy N Ste 700, Montgomery, TX 77316-6503 | 2020-10-08 |
1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
1184230302 | Mi Dentista | Clinic/Center | 3101 W Davis St, Dallas, TX 75211-2921 | 2020-09-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.