National Provider Identifier Database

TLN FAMILY COSMETIC DENTAL PEARLAND PARKWAY
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

TLN FAMILY & COSMETIC DENTAL @ PEARLAND PARKWAY
2701 PEARLAND PARKWAY
SUITE 201
PEARLAND, TX77581
Phone: 713-723-2600
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for TLN FAMILY & COSMETIC DENTAL @ PEARLAND PARKWAY

NPI Number 1730550161
Legal business name
LBN
TLN FAMILY & COSMETIC DENTAL @ PEARLAND PARKWAY
Authorized official TAMMEKA NICKLEBERRY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/12/2015
Last updated 10/12/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 22283
  • TX Medicaid: 176205602

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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