Provider Demographics
NPI:1467213710
Name:WELCH DENTAL GROUP CYPRESS PLLC
Entity Type:Organization
Organization Name:WELCH DENTAL GROUP CYPRESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-906-8442
Mailing Address - Street 1:23515 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3962
Mailing Address - Country:US
Mailing Address - Phone:281-395-2112
Mailing Address - Fax:281-395-8251
Practice Address - Street 1:19655 WEST RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:281-769-8873
Practice Address - Fax:281-769-8872
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WELCH DENTAL GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty