Complete Dental Care Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COMPLETE DENTAL CARE GROUP

Doing business as

Complete Dental Care

Practice address

23812 Highway 59 N
Kingwood, TX 77339-1510

Phone

(713) 382-8654

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thaer Al Azzawi, DMD

Title

Owner

Phone

(713) 382-8654

Specialties & licenses 1

Addresses

Other names 1

• Complete Dental Care Doing business as

Tax ID family

Complete Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Complete Dental Care Group PLLC

  • General Practice Dentistry
  • Kingwood, TX
  • NPI 1508513383
  NPD tax ID

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1932735453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23812 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391510",
            "telephone_number": "713-382-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23812 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391510",
            "telephone_number": "713-382-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "AL AZZAWI",
        "authorized_official_first_name": "THAER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-382-8654",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comfort Drips IV Therapy& Infusions, PLLC
• Compass Point Emergency Physicians, PLLC
• Compass Point Emergency Physicians, PLLC
• Compassion in Heart
• Compassitant Companion Care LLC
• Complete Dental Care Group PLLC
• Michael Pacifico Conde, NP
• William Condrin, M.D.
• Molly Mayerle Conklin
• Connect ABA and Consulting LLC

• Dental Clinic/Center in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.