Provider Demographics
NPI:1265115141
Name:CYPRESS DENTAL
Entity type:Organization
Organization Name:CYPRESS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGHIKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-427-6620
Mailing Address - Street 1:17823 LONGENBAUGH RD STE D
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8307
Mailing Address - Country:US
Mailing Address - Phone:832-427-6620
Mailing Address - Fax:
Practice Address - Street 1:17823 LONGENBAUGH RD STE D
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8307
Practice Address - Country:US
Practice Address - Phone:832-427-6620
Practice Address - Fax:832-427-1713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty