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GULF COAST DENTAL PC NPI 1912123092


NPI Information

NPI: 1912123092
Provider Name: GULF COAST DENTAL PC

Former Legal Business Name: KAVITHA GINJUPALLI DDS PC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
309 GARLAND DR
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 480-9300
Get Directions

GULF COAST DENTAL PC is a general practice dentist in Lake Jackson, 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. GULF COAST DENTAL PC NPI is 1912123092. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Kavitha Ginjupalli Dds Pc.

The provider's business location address is:

309 GARLAND DR
LAKE JACKSON, TX
ZIP 77566-238
Phone: (979) 480-9300
Fax: (979) 480-9310

The provider's authorized official is Kavitha Ginjupalli .
The authorized official title is President and has the following contact phone number (979) 480-9300.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/12/2008.


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 Practice19499TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10912784-01MEDICAIDTEXAS

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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