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HOUSTON WISDOM TEETH PLLC NPI 1992417117


NPI Information

NPI: 1992417117
Provider Name: HOUSTON WISDOM TEETH, PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
12004 SHADOW CREEK PKWY SUITE #122-A,
PEARLAND, TX
ZIP 77584
Phone: (713) 424-2824
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HOUSTON WISDOM TEETH, PLLC is an oral and maxillofacial surgery dentist in Pearland, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. HOUSTON WISDOM TEETH, PLLC NPI is 1992417117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12004 SHADOW CREEK PKWY SUITE #122-A,
PEARLAND, TX
ZIP 77584
Phone: (713) 424-2824

The provider's authorized official is Benjamin Hilton .
The authorized official title is Managing Member and has the following contact phone number (208) 484-2376.

The enumeration date for this NPI number is 12/19/2022 and was last updated on 12/19/2022.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.