Santa Fe Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SANTA FE DENTAL PLLC

Practice address

12903 Tamarack Bend LN
Humble, TX 77346-1569

Phone

(617) 771-2784

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By 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

Dhaval Thakkar, DMD

Title

Owner

Phone

(617) 771-2784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1710387840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 TAMARACK BEND LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12903 TAMARACK BEND LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461569",
            "telephone_number": "617-771-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-771-2784",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leniyaha Renee Sanders
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• Elizabeth Sandoval
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• Sarah Elizabeth Sauseda, MS, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.