Organization Active NPI

TM2 Dental ,PLLC

  • Dental Clinic/Center
  • Spring Branch, TX
National Provider Identifier
1104428622
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TM2 DENTAL ,PLLC
Practice address
21477 State Highway 46 W Ste 101
Spring Branch, TX 78070-6797
Phone
(830) 438-2121
Fax
(830) 438-2121
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Marisa Antoinette Holder
Title
Clinical Director
Phone
(830) 438-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

21477 State Highway 46 W Ste 101
Spring Branch, TX 78070-6797

Mailing address

21477 State Highway 46 W Ste 101
Spring Branch, TX 78070-6797
Phone (830) 438-2121

National Provider Directory

National Provider Directory

Locations

172 Creekside Park Rd
Ste 102
Spring Branch, TX 78070
Phone (830) 438-2121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1104428622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21477 STATE HIGHWAY 46 W STE 101",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706797",
            "telephone_number": "830-438-2121",
            "fax_number": "830-438-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21477 STATE HIGHWAY 46 W STE 101",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706797",
            "telephone_number": "830-438-2121",
            "fax_number": "830-438-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TM2 DENTAL ,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "830-438-2121"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.