Organization Active NPI

Majestic Dental PLLC

Doing business as Majestic Dental

  • General Practice Dentistry
  • Tomball, TX
National Provider Identifier
1235809310
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAJESTIC DENTAL PLLC
Doing business as
Majestic Dental
Practice address
27030 Kuykendahl Rd Ste 160
Tomball, TX 77375-2659
Phone
(281) 305-8712
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Yazan SadeddinNPI 1619388337
Title
Owner-Manager
Phone
(281) 305-8712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

27030 Kuykendahl Rd Ste 160
Tomball, TX 77375-2659

Mailing address

27030 Kuykendahl Rd Ste 160
Tomball, TX 77375-2659

Other names 1

  • Majestic Dental Doing business as

National Provider Directory

National Provider Directory

Locations

27030 Kuykendahl Rd
Ste 160
Tomball, TX 77375
Phone (281) 305-8712

Practitioners & affiliated clinicians

Practitioners 1

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": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1235809310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27030 KUYKENDAHL RD STE 160",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773752659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27030 KUYKENDAHL RD STE 160",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773752659",
            "telephone_number": "281-305-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "SADEDDIN",
        "authorized_official_first_name": "YAZAN",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "281-305-8712"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.