VGM Family Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VGM FAMILY DENTAL PLLC

Practice address

16 Uvalde Rd Ste F
Houston, TX 77015-1439

Phone

(713) 330-4138

Fax

(713) 330-4148

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Marta Tamara Tran, BA

Title

Office Manager

Phone

(713) 330-4138

Specialties & licenses 1

Addresses

Other names 1

• Phantastic Dental Doing business as

Locations

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1619355435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 UVALDE RD STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770151439",
            "telephone_number": "713-330-4138",
            "fax_number": "713-330-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 UVALDE RD STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770151439",
            "telephone_number": "713-330-4138",
            "fax_number": "713-330-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VGM FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "TAMARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-330-4138",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phantastic Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.