Blalock Dental Clinic ,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19272 Issued in TX

Legal business name

BLALOCK DENTAL CLINIC ,P.C.

Practice address

1304 Blalock Rd Ste E
Houston, TX 77055-6475

Phone

(713) 722-0888

Fax

(713) 722-0892

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Tinhvan Nguyen, D.D.S.

Title

Dentist

Phone

(713) 722-0888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851410179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BLALOCK RD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556475",
            "telephone_number": "713-722-0888",
            "fax_number": "713-722-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BLALOCK RD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556475",
            "telephone_number": "713-722-0888",
            "fax_number": "713-722-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLALOCK DENTAL CLINIC ,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "TINHVAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-722-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DENT51045",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Olga Pavlovna Blakley, MD
• Blalock Dialysis Center Inc
• Deborah Elizabeth Blalock, PT
• Diane Lynn Blalock, LMT
• Janice A. Blalock, PHD
• Marnie Lalon Blalock, MD

• 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 22, 2020; 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.