Dental Etc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21502 Issued in TX

Legal business name

DENTAL ETC

Practice address

2945 Gulf Fwy S Ste D
League City, TX 77573-6771

Phone

(281) 534-7300

Fax

(281) 534-7299

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mitchel Mai, DDS

Title

President

Phone

(713) 703-2915

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thanh Mai, DDS

  • General Practice Dentistry
  • League City, TX
  • NPI 1336134337
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1669667408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 GULF FWY S STE D",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736771",
            "telephone_number": "281-534-7300",
            "fax_number": "281-534-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 GULF FWY S STE D",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736771",
            "telephone_number": "281-534-7300",
            "fax_number": "281-534-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ETC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-703-2915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167196802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Anne Degroot, LPC
• Brendan Shaw Del Basso, PTA
• Callie Leigh Deloach, FNP-C
• Adam Demoss
• Vicki L Denaro
• Rachel Louise Desonier, R.D.
• Devereux Foundation
• Courtney R Devereux
• Ida Renee Diamond, APRN
• Dickinson OB-GYN Association, P.a.

• General Practice Dentistry in League City, TX
• Providers in League City, 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 Sep 13, 2007; 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.