BAYBROOK MALL DENTAL PC (NPI# 1861732273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861732273 |
| Entity Type | Organization |
| Organization Name | BAYBROOK MALL DENTAL PC |
| Practice Address |
1012 Baybrook Mall Friendswood TX 77546-2744 |
| Practice Telephone | 2814616515 |
| Mailing Telephone | 2814616515 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | DR. ROSTISLAV KRASNOV (OWNER) |
| Authorized Official Telephone | 9179029515 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN16377 | FL | Dental Providers |
| Street Address |
1012 BAYBROOK MALL |
| City | FRIENDSWOOD |
| State | TX |
| Zip Code | 77546-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013458983 | Fwb Dental, P.l.l.c. | Dentist | 1012 Baybrook Mall, Friendswood, TX 77546-2744 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943736 | Robina Lukose Philip | Physical Therapist | 104 East Heritage Drive, Friendswood, TX 77546 | 2020-05-17 |
| 1417587213 | See B Seen Eyecare LLC | Optometrist | 1501 W. Parkwood Ave, Suite 101, Friendswood, TX 77546 | 2020-01-21 |
| 1831740299 | Kristen Chambliss, Ph.d., Pllc | Psychologist | 1506 E. Winding Way Dr., Suite 606, Friendswood, TX 77546 | 2019-09-26 |
| 1215585765 | Vivian Stephanie Pollock | Technician | 524 Fairdale St., Friendswood, TX 77546 | 2019-08-28 |
| 1174182612 | Katarina Ann Ament | Psychologist | 1410 Winding Way Dr., Suite E, Friendswood, TX 77546 | 2019-06-09 |
| 1982261087 | Ahmed Alkholeidi Dds Pllc | Dentist | 2111 W Parkwood Ave, Suite 105, Friendswood, TX 77546 | 2019-05-23 |
| 1407334899 | Friendswood Center for Family Health LLP | Clinic/Center | 4 Oaktree St Ste 2, Friendswood, TX 77546 | 2018-07-30 |
| 1376099655 | Sitting Saints LLC | Home Health | 3518 Harbor Pass Ln, Friendswood, TX 77546 | 2016-08-28 |
| 1316302557 | Texas Integrated Healthcare Solutions Pllc | General Practice | 3344 East 528, Friendswood, TX 77546 | 2015-12-15 |
| 1831561414 | Friendswood Modern Dentistry,pc | Dentist | 1780 S Friendswood Dr Suite A, Firendswood, TX 77546 | 2015-10-22 |
| Find all providers in zip 77546 | ||||
| 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 |
|---|---|---|---|---|
| 1902437221 | Houston Mint Dentistry, Pllc | Dentist | 19222 Gulf Fwy Ste A-1, Friendswood, TX 77546-2831 | 2020-01-27 |
| 1467000190 | Tg Impex Pllc | Dentist | 1111 S Friendswood Dr Ste 107, Friendswood, TX 77546-5493 | 2019-08-27 |
| 1821465279 | Friendswood Family Dental, Pllc | Dentist | 108 E Edgewood Dr, Friendswood, TX 77546-3819 | 2015-09-01 |
| 1124461553 | Made Ya Smile Friendswood Pllc | Dentist | 1520 S Friendswood Dr, Ste. 104, Friendswood, TX 77546-4833 | 2013-04-16 |
| 1346518990 | Jennifer Cloud Smith | Dentist | 19012 Gulf Fwy Ste A, Friendswood, TX 77546-2798 | 2011-12-11 |
| 1487922472 | Jeanine Eaton, Dds, P.a. | Dentist | 19012 Gulf Freeway, Friendswood, TX 77546-2798 | 2011-12-06 |
| 1235417767 | Sravan K Abbaraju | Dentist | 211 W El Dorado Blvd Ste C, Friendswood, TX 77546-6533 | 2011-08-02 |
| 1366673659 | Iran Hosseini | Dentist | 3234 Prince George Dr, Friendswood, TX 77546-4183 | 2009-08-04 |
| 1376704973 | Stephen George Trahan | Dentist | 1780 S Friendswood Dr, Suite A, Friendswood, TX 77546 | 2008-06-17 |
| 1932386836 | Dental Gallery | Dentist | 102 W El Dorado Blvd, Friendswood, TX 77546-6516 | 2008-01-23 |
| Find all providers in FRIENDSWOOD | ||||
| City | FRIENDSWOOD |
| Zip Code | 77546 |
Please comment or provide details below to improve the information on BAYBROOK MALL DENTAL PC.
| 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.