Provider Demographics
NPI:1952948457
Name:DENTISTS AT NORTH CYPRESS, PLLC
Entity Type:Organization
Organization Name:DENTISTS AT NORTH CYPRESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ROME
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-664-8100
Mailing Address - Street 1:9544 HUFFMEISTER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2855
Mailing Address - Country:US
Mailing Address - Phone:281-664-8100
Mailing Address - Fax:281-664-8104
Practice Address - Street 1:9544 HUFFMEISTER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2855
Practice Address - Country:US
Practice Address - Phone:281-664-8100
Practice Address - Fax:281-664-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty