WILLIS FAMILY DENTAL PLLC (NPI# 1700286838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700286838 |
| Entity Type | Organization |
| Organization Name | WILLIS FAMILY DENTAL PLLC |
| Practice Address |
12903 Tamarack Bend Ln Humble TX 77346-1569 |
| Practice Telephone | 6177712784 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | DHAVAL THAKKAR (OWNER) |
| Authorized Official Telephone | 6177712784 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
12903 TAMARACK BEND LN |
| City | HUMBLE |
| State | TX |
| Zip Code | 77346-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710387840 | Santa Fe Dental Pllc | Dentist | 12903 Tamarack Bend Ln, Humble, TX 77346-1569 | 2014-08-26 |
| 1649709361 | Thakkar Healthcare Mgt | Family Medicine | 12903 Tamarack Bend Ln, Humble, TX 77346-1569 | 2017-06-06 |
| 1699227702 | Henderson Smiles Pllc | Dentist | 12903 Tamarack Bend Ln, Humble, TX 77346-1569 | 2016-10-25 |
| 1881044733 | Potranco Smiles Pllc | Dentist | 12903 Tamarack Bend Ln, Humble, TX 77346-1569 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
| 1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
| 1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
| 1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
| 1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
| 1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
| 1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
| Find all providers in zip 77346 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1386254423 | Vincent Vo | Dentist | 9490 Fm 1960 Bypass Rd W Ste 700, Humble, TX 77338-3963 | 2020-08-04 |
| 1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
| 1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
| 1689136657 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 9360 N Sam Houston Pkwy E Ste 800, Humble, TX 77396-5025 | 2019-04-01 |
| 1144688086 | Olabisi Alabi | Dentist | 9025 N Sam Houston Pkwy E Ste 160, Humble, TX 77396-4399 | 2016-02-07 |
| 1811353741 | H Hometown Enterprises, LLC | Dentist | 14707 Eastex Fwy, Ste B, Humble, TX 77396-3206 | 2016-01-07 |
| 1740663764 | Carus Dental PC | Dentist | 19121 W Lake Houston Pkwy, Ste E, Humble, TX 77346-4825 | 2015-07-08 |
| 1164810172 | Thomas Charlie Maveli | Dentist | 9526 N Sam Houston Pkwy E, Suite # 3116, Humble, TX 77396-4733 | 2014-12-27 |
| 1538575493 | Robert Gerald Appel | Dentist | 80 Wilson Rd Ste C, Humble, TX 77338-3961 | 2014-07-10 |
| Find all providers in HUMBLE | ||||
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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.