Organization Active NPI

Imma Dental Inc

  • General Practice Dentistry
  • Conroe, TX
National Provider Identifier
1760288781
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IMMA DENTAL INC
Practice address
13843 Highway 105 W Ste 106
Conroe, TX 77304-5704
Phone
(936) 324-1094
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Fri Vekuh, DMDNPI 1548086051
Title
Dentist
Phone
(936) 324-1094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13843 Highway 105 W Ste 106
Conroe, TX 77304-5704

Mailing address

469 FM 1488 Rd Ste 103
Conroe, TX 77384-4189
Phone (832) 299-0884

National Provider Directory

National Provider Directory

Locations

13843 Highway 105 W
Ste 106
Conroe, TX 77304
Phone (936) 324-1094

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1760288781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 FM 1488 RD STE 103",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844189",
            "telephone_number": "832-299-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13843 HIGHWAY 105 W STE 106",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045704",
            "telephone_number": "936-324-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMA DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "VEKUH",
        "authorized_official_first_name": "FRI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "936-324-1094",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.