Dental Aesthetics of Texas

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL AESTHETICS OF TEXAS

Practice address

6120 Scott St Ste B
Houston, TX 77021-2698

Phone

(713) 444-7768

NPI assigned

Apr 24, 2012

Last updated

Dec 1, 2012By 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

Derek Tillman, D.M.D.

Title

Manager

Phone

(713) 444-7768

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354320000000",
    "number": "1265790539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300448",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 SCOTT ST STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212698",
            "telephone_number": "713-444-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL AESTHETICS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-12-01",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-444-7768",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brandon Dent, LCSW
• Heather Palmer Dent, DDS
• Nykeetha Nicole Dent
• Tawanda Dent
• Dental 4U
• Dental Boutique PLLC
• Dental Bright (Dental Bright PA)
• Dental Care 2000 P.C.
• Dental Clinics of Texas, PLLC
• Dental Clinics of Texas, PLLC

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2012; 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.