JJJ Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

29063 Issued in TX

Legal business name

JJJ DENTAL PC

Practice address

11403 Barker Cypress Rd Ste 1300
Cypress, TX 77433-5425

Phone

(281) 318-5521

Fax

(800) 507-8712

NPI assigned

Dec 16, 2016

Last updated

Dec 16, 2016By 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

Mollisa Romero

Title

Credentialing

Phone

(602) 652-2257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1538603071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 BARKER CYPRESS RD STE 1300",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335425",
            "telephone_number": "281-318-5521",
            "fax_number": "800-507-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11403 BARKER CYPRESS RD STE 1300",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335425",
            "telephone_number": "281-318-5521",
            "fax_number": "800-507-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJJ DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "MOLLISA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "602-652-2257"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Cypress, TX
• Providers in Cypress, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.