Organization Active NPI

812 Tooth Care Corporation

Doing business as Family Dental Care

  • Dentist
  • Conroe, TX
National Provider Identifier
1912175654
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
812 TOOTH CARE CORPORATION
Doing business as
Family Dental Care
Practice address
727B W Davis St
Conroe, TX 77301-2704
Phone
(936) 760-2555
Fax
(936) 760-2557
NPI assigned
Feb 15, 2008
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Linh Nguyen
Title
Dentist
Phone
(936) 760-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

727B W Davis St
Conroe, TX 77301-2704

Mailing address

727B W Davis St
Conroe, TX 77301-2704
Phone (936) 760-2555

Other names 1

  • Family Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1912175654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727B W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012704",
            "telephone_number": "936-760-2555",
            "fax_number": "936-760-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727B W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012704",
            "telephone_number": "936-760-2555",
            "fax_number": "936-760-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "812 TOOTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "936-760-2555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.