Provider Demographics
NPI:1770572927
Name:KATY DENTAL
Entity type:Organization
Organization Name:KATY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:QUANG
Authorized Official - Last Name:HUYNTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-233-1581
Mailing Address - Street 1:2427 N FRY RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6220
Mailing Address - Country:US
Mailing Address - Phone:281-599-1755
Mailing Address - Fax:281-579-8837
Practice Address - Street 1:2427 N FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6220
Practice Address - Country:US
Practice Address - Phone:281-599-1755
Practice Address - Fax:281-579-8837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty