Organization Active NPI

Woodforest Dental Loft

  • Dental Clinic/Center
  • Montgomery, TX
National Provider Identifier
1962009373
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WOODFOREST DENTAL LOFT
Practice address
2300 Woodforest Pkwy N Ste 700
Montgomery, TX 77316-6503
Phone
(936) 249-6300
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Jennifer M Hobock, DDSNPI 1518376698
Title
Dentist/Owner
Phone
(936) 249-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2300 Woodforest Pkwy N Ste 700
Montgomery, TX 77316-6503

Mailing address

2300 Woodforest Pkwy N Ste 700
Montgomery, TX 77316-6503
Phone (936) 249-6300

National Provider Directory

National Provider Directory

Locations

2300 Woodforest Pkwy N
Ste 700
Montgomery, TX 77316
Phone (936) 249-6300

Practitioners & affiliated clinicians

Practitioners 2

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1962009373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WOODFOREST PKWY N STE 700",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166503",
            "telephone_number": "936-249-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WOODFOREST PKWY N STE 700",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166503",
            "telephone_number": "936-249-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFOREST DENTAL LOFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "HOBOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "936-249-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.