Woodforest Fine Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOODFOREST FINE DENTISTRY

Practice address

791 Fish Creek Thoroughfare Ste 40
Montgomery, TX 77316

Phone

(832) 729-6453

NPI assigned

Mar 20, 2019

Last updated

Mar 20, 2019By 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

Michael Gillogly, DDS

Title

Owner Dentist

Phone

(832) 729-6453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1356801195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHECKERBLOOM CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773161528",
            "telephone_number": "832-729-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 FISH CREEK THOROUGHFARE STE 40",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77316",
            "telephone_number": "832-729-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFOREST FINE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "GILLOGLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "832-729-6453",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chaney Williamson, CCC-SLP
• Janet Wilson, AU.D.
• Travis Wilson
• Mark Wisnieske, D.C.
• Woodforest Dental Loft
• Woodforest Restoration and Wellness, PLLC (Woodland Wounds)
• Woodlands Recovery Centers Inc.
• Megan Ashley Wray
• Wright Pediatrics, PA
• Kara E Wright, LSA

• Dental Clinic/Center in Montgomery, TX
• Providers in Montgomery, 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 Mar 20, 2019; 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.