Provider Demographics
NPI:1821314899
Name:HAPPY FAMILY DENTAL CENTER
Entity Type:Organization
Organization Name:HAPPY FAMILY DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALYN
Authorized Official - Middle Name:N
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-437-7437
Mailing Address - Street 1:6297 W FUQUA ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2828
Mailing Address - Country:US
Mailing Address - Phone:281-437-7437
Mailing Address - Fax:281-437-7438
Practice Address - Street 1:6297 W FUQUA ST
Practice Address - Street 2:SUITE F
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2828
Practice Address - Country:US
Practice Address - Phone:281-437-7437
Practice Address - Fax:281-437-7438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21462122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty