Advanced Implant and Periodontal Professionals PA

Organization Active NPI Periodontics · The Woodlands, TX

NPI 1275812430 · NPPES record last updated Apr 23, 2013

Key facts

NPI
1275812430
Entity type
Organization (NPI type 2)
Primary specialty
Periodontics 1223P0300X
License
21111 (TX)
Legal business name
ADVANCED IMPLANT AND PERIODONTAL PROFESSIONALS PA
Practice address
1011 Medical Plaza Dr
Suite #140
The Woodlands, TX 77380-3249
Phone
(281) 681-2422
Fax
(866) 352-0357
NPI assigned
Aug 5, 2011
Organization subpart
No

Authorized official

Name
Dr. Jason D. West, DDS, MS NPI 1871667543
Title
Owner/Provider
Phone
(281) 681-2422

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

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0300X 21111 TX Yes

Addresses

Primary practice location

1011 Medical Plaza Dr
Suite #140
The Woodlands, TX 77380-3249

Mailing address

1011 Medical Plaza Dr
Suite #140
The Woodlands, TX 77380-3249
Phone (281) 681-2422

Other providers in The Woodlands, TX

All providers in The Woodlands, TX · Periodontics in Texas

Sources for this page

Verify at the official NPI Registry.