Bayside Dental PA

Primary specialty

DentistTaxonomy code 122300000X

License

20694 Issued in TX

Legal business name

BAYSIDE DENTAL PA

Practice address

2323 Clear Lake City Blvd Suite 140
Houston, TX 77062

Phone

(281) 488-3626

Fax

(281) 486-4766

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Julie H Du, DDS

Title

Director

Phone

(281) 488-3626

Specialties & licenses 1

Addresses

Other names 1

• Bayside Dental Doing business as

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1851400550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CLEAR LAKE CITY BLVD SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77062",
            "telephone_number": "281-488-3626",
            "fax_number": "281-486-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 CLEAR LAKE CITY BLVD SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77062",
            "telephone_number": "281-488-3626",
            "fax_number": "281-486-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-488-3626",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashraf Baytalthahb
• Baytex Ambulance Services Inc.
• Baytown Medical Center, LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.