Provider Demographics
NPI:1417626540
Name:TEXDENT VENTURES PLLC
Entity Type:Organization
Organization Name:TEXDENT VENTURES PLLC
Other - Org Name:CINCO RANCH FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-407-5442
Mailing Address - Street 1:22167 WESTHEIMER PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8301
Mailing Address - Country:US
Mailing Address - Phone:281-407-5442
Mailing Address - Fax:
Practice Address - Street 1:22167 WESTHEIMER PKWY STE 110
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-8301
Practice Address - Country:US
Practice Address - Phone:281-829-7887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-11
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty