Palm Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

31017 Issued in TX

Legal business name

PALM DENTAL PLLC

Practice address

6015 Hillcroft St
Houston, TX 77081-1019

Phone

(832) 201-3100

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thaer Al Azzawi, DMD

Title

Owner

Phone

(832) 201-3100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1689175242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 HILLCROFT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811019",
            "telephone_number": "832-201-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 HILLCROFT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811019",
            "telephone_number": "832-201-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "AL AZZAWI",
        "authorized_official_first_name": "THAER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-201-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "31017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palliative Care Saint Lukes LLC
• Palliative Quality Care
• Matthew Evan Pallini, OTR
• Megan German Pallister, M.D.
• Annie Pally, MD
• Palm Health Services Inc
• Palm Health Services LLC
• Jesus Alberto Palma Fuoman
• Blanca Palma
• Denise Ann Palma, RD

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.