Premier Dental Club PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PREMIER DENTAL CLUB PC

Doing business as

Premier Dental Club

Practice address

9720 Cypresswood Dr Ste 200
Houston, TX 77070-3357

Phone

(346) 296-9056

Fax

(346) 501-4160

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jaya Mangal, DDSNPI 1972224897

Title

Owner

Phone

(848) 218-8836

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Club Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaya Mangal, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1972224897
  Authorized official Same address or phone
• Michael J Landry, DDS

  • General Practice Dentistry
  • Spring, TX
  • NPI 1215948369
  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1851025118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 CYPRESSWOOD DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703357",
            "telephone_number": "346-296-9056",
            "fax_number": "346-501-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CYPRESSWOOD DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703357",
            "telephone_number": "346-296-9056",
            "fax_number": "346-501-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL CLUB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "MANGAL",
        "authorized_official_first_name": "JAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-218-8836",
        "authorized_official_name_prefix": "Dr.",
        "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": "Premier Dental Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Care Mobility Transport LLC
• Premier Care Physician Services
• Premier Care Services (Premier Health Services)
• Premier Chiropractic Network (West Houston Chiropractic & Associates)
• Premier Clinic PLLC
• Premier Derm Center, PLLC
• Premier Diagnostic Center
• Premier Diagnostic Center
• Premier Diagnostic Sleep Center
• Premier Dialysis - Dsi, LLC (US Renal Care Premier Dialysis LLC)

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.