Dentastyle, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTASTYLE, PLLC

Practice address

702 W Montgomery St Ste 300
Willis, TX 77378-8829

Phone

(936) 228-3110

Fax

(936) 228-3113

NPI assigned

Jan 23, 2024

Last updated

Jan 23, 2024By 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

Dr. Haitham Al-Salman, DDS

Title

Owner

Phone

(936) 228-3110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1215799598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 INTERSTATE 45 N STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773037912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W MONTGOMERY ST STE 300",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773788829",
            "telephone_number": "936-228-3110",
            "fax_number": "936-228-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTASTYLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "AL-SALMAN",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-228-3110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Willis, TX
• Providers in Willis, 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 Jan 23, 2024; 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.