Fort Bend Dental Grand Parkway, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FORT BEND DENTAL GRAND PARKWAY, PLLC

Practice address

7417 W Grand Parkway S
Ste 140
Richmond, TX 77407

Phone

(281) 232-8300

Fax

(281) 605-5956

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Dwight D Peccora, DDSNPI 1124330782

Title

Doctor/Managing Partner

Phone

(281) 499-3541

Specialties & licenses 1

Addresses

Other names 2

• Fort Bend Dental Grand Parkway, PLLC Doing business as
• Fort Bend Dental Sweetwater Former legal business name

Locations

Practitioners 1

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

• Dwight Daniel Peccora, D.D.S.

  • Dentist
  • Missouri City, TX
  • NPI 1124330782
  NPD Authorized official

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1831789387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 W GRAND PARKWAY S",
            "address_2": "STE 140",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "281-232-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 W GRAND PARKWAY S",
            "address_2": "STE 140",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "281-232-8300",
            "fax_number": "281-605-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BEND DENTAL GRAND PARKWAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "PECCORA",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR/MANAGING PARTNER",
        "authorized_official_telephone_number": "281-499-3541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "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": "Fort Bend Dental Grand Parkway, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Bend Dental Sweetwater",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jennifer M Ford, P.T.
• Forefront Physicians PLLC
• Forever Speaking Pediatrics and Adults LLC
• Hilda Fornyikeh Ncho, PMHNP-BC
• Fort Bend Cardiology, P.a.
• Fort Bend Family Health Center, Inc
• Fort Bend Family Health Center, Inc
• Fort Bend Family Health Center, Inc
• Fort Bend Family Health Center, Inc
• Fort Bend Family Health Center, Inc.

• All providers in Richmond, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.