Provider Demographics
NPI:1477862209
Name:TEXAS DENTAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:TEXAS DENTAL ASSOCIATES, PA
Other - Org Name:LOVETT DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZIEGENBEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-490-8880
Mailing Address - Street 1:2536 AMHERST ST.
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3148
Mailing Address - Country:US
Mailing Address - Phone:713-490-8880
Mailing Address - Fax:713-490-6464
Practice Address - Street 1:1317 WEST DAVIS ST.
Practice Address - Street 2:SUITE D
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2334
Practice Address - Country:US
Practice Address - Phone:713-490-8880
Practice Address - Fax:713-490-6464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty