Hollywood Dentists One

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27338 Issued in TX

Legal business name

HOLLYWOOD DENTISTS ONE

Practice address

12620 Woodforest Blvd Ste 420a
Houston, TX 77015-3643

Phone

(713) 637-8000

Fax

(713) 637-6558

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Anh Mai

Title

Office Manager

Phone

(281) 589-1111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1407267933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 WOODFOREST BLVD STE 420A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153643",
            "telephone_number": "713-637-8000",
            "fax_number": "713-637-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 WOODFOREST BLVD STE 420A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153643",
            "telephone_number": "713-637-8000",
            "fax_number": "713-637-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD DENTISTS ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "ANH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-589-1111"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly L Huston PHD PA
• Kaila A Holly
• Hollywood Corporation (Hollywood Dental)
• Hollywood Dentist Four
• Hollywood Dentists LLC
• Hollywood Dentists Two
• Bonnie Elizabeth Hollywood, MA CCCSLP
• Kyle Hollywood
• Suzanne Holm, PH.D.
• Holman Dental PLLC

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.