LA DENTAL III – NPI #1053512061
Clinic/Center

LA DENTAL III is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1053512061 to LA DENTAL III on May 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LA DENTAL III” is a dba name, the actual legal business name for this organization is LA DENTAL FAMILY DENTISTRY, LLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LA DENTAL III below.

NPI Profile for
LA DENTAL FAMILY DENTISTRY, LLC

NPI Number
1053512061
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LA DENTAL FAMILY DENTISTRY, LLC
Doing Business As (dba): LA DENTAL III
Primary location
8388 W. SAM HOUSTON PKWY
188
HOUSTON, TX 77072
Phone: (281) 568-5124 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THUC LA
PRESIDENT
Phone: (281) 568-5124
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 TX 19080

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.