LWL Dental Group, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26046 Issued in TX

Legal business name

LWL DENTAL GROUP, PLLC

Doing business as

Just Dental

Practice address

24441 Katy Fwy
Suite 200
Katy, TX 77494-1376

Phone

(832) 886-4688

NPI assigned

Feb 25, 2014

Last updated

Mar 4, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela K Petropoulos

Title

Office Manager

Phone

(832) 886-4688

Specialties & licenses 3

Addresses

Other names 1

• Just Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1003231242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24441 KATY FWY",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941376",
            "telephone_number": "832-886-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24441 KATY FWY",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941376",
            "telephone_number": "832-886-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LWL DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "PETROPOULOS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-886-4688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24051",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24065",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.