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GE DENTAL PLLC NPI 1790140614


NPI Information

NPI: 1790140614
Provider Name: GE DENTAL PLLC

Doing Business As: FAIR LAKES FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
15103 MASON RD STE B-8
CYPRESS, TX
ZIP 77433
Phone: (281) 712-2964
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GE DENTAL PLLC is a general practice dentist in Cypress, TX. The provider is 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. GE DENTAL PLLC NPI is 1790140614. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fair Lakes Family Dentistry.

The provider's business location address is:

15103 MASON RD STE B-8
CYPRESS, TX
ZIP 77433-752
Phone: (281) 712-2964

The provider's authorized official is Pierre Ghattas .
The authorized official title is Owner/dentist and has the following contact phone number (281) 712-2964.

The enumeration date for this NPI number is 12/18/2015 and was last updated on 12/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice22621TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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