Active NPI
HQ Dental Design PLLC
- General Practice Dentistry
- Georgetown, TX
National Provider Identifier
1952901753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- HQ DENTAL DESIGN PLLC
- Practice address
- 3011 Dawn Dr # 105
Georgetown, TX 78628-2827 - Phone
- (512) 863-7561
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hiep Duy Pham, DMD
- Title
- Doctor
- Phone
- (949) 232-0236
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
3011 Dawn Dr # 105
Georgetown, TX 78628-2827
Mailing address
3011 Dawn Dr # 105
Georgetown, TX 78628-2827
Phone (949) 232-0236
National Provider Directory
National Provider DirectoryLocations
3011 Dawn Dr
Ste 105
Georgetown, TX 78628
Phone (512) 863-7561
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1952901753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 DAWN DR # 105",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282827",
"telephone_number": "949-232-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 DAWN DR # 105",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282827",
"telephone_number": "512-863-7561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HQ DENTAL DESIGN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "HIEP",
"authorized_official_middle_name": "DUY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "949-232-0236",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.