Stagecoach Children's Dental Center

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16174 Issued in TX

Legal business name

STAGECOACH CHILDREN'S DENTAL CENTER

Practice address

32931 Decker Prairie Rd
Magnolia, TX 77355-8496

Phone

(281) 259-5444

Fax

(281) 259-5425

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith Montgomery Coe, DDSNPI 1295773075

Title

Owner

Phone

(281) 259-5444

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Keith Montgomery Coe, DDS

  • Pediatric Dentistry
  • Magnolia, TX
  • NPI 1295773075
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861615536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32931 DECKER PRAIRIE RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773558496",
            "telephone_number": "281-259-5444",
            "fax_number": "281-259-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32931 DECKER PRAIRIE RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773558496",
            "telephone_number": "281-259-5444",
            "fax_number": "281-259-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGECOACH CHILDREN'S DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MONTGOMERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-259-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "16174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lee Squyres, DDS
• Richard Srebro, M.D.
• St Nicholas Project, Inc (St Nicholas - Home Health)
• Martaya St. John
• Jeffrey Joseph Stachowiak
• Stagecoach Pediatric Dentistry PLLC (Stagecoach Children's Dental Center)
• James Michael Stanton, MD
• Star Urgent Care Management Inc (Star Urgent Care)
• Star Urgent Care, PLLC
• Gabrielle Steele, FNP-BC

• Pediatric Dentistry in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Pediatric 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.