DNTL Texas

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DNTL TEXAS

Practice address

501 S Friendswood Dr
Friendswood, TX 77546-4508

Phone

(281) 554-9090

NPI assigned

Nov 24, 2021

Organization subpart

No

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

Authorized official

Name

Jackie Martinez

Title

Boss Lady

Phone

(281) 703-9468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1316604382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W MAIN ST STE D",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731830",
            "telephone_number": "281-554-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S FRIENDSWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464508",
            "telephone_number": "281-554-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNTL TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BOSS LADY",
        "authorized_official_telephone_number": "281-703-9468"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tevin Elliott Dent, LAT, ATC
• Dental Gallery
• Dentists at South Friendswood PLLC
• Tami Dinh, LPC
• Susan Lynn Dirks, CCC/SLP
• Christie Anh DO, R.PH
• Christen Dobbs, LCSW
• Awilda M Dominguez-Beven, M.D.
• Brooke Dominguez
• Dr. Summer U Vu and Associates

• Dental Clinic/Center in Friendswood, TX
• Providers in Friendswood, 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 Nov 24, 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.