RST Soul Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RST SOUL DENTAL PLLC

Practice address

10350 S Post Oak Rd Ste H
Houston, TX 77035-3319

Phone

(713) 551-9400

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Lucilla Garza

Title

Officer

Phone

(479) 445-8588

Specialties & licenses 1

Addresses

Other names 1

• SOUL FAMILY DENTAL Other name

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1629759873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 BRAESHEATHER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964205",
            "telephone_number": "479-445-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 S POST OAK RD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770353319",
            "telephone_number": "713-551-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RST SOUL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-01-12",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "LUCILLA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "479-445-8588"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUL FAMILY DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Jan 12, 2024; 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.