SOUTH LOOP DENTAL SERVICES, PLLC
NPI 1083401616
Dentist - Pediatric Dentistry in Houston, TX

Q: What is South Loop Dental Services, PLLC's NPI number?

The NPI number for South Loop Dental Services, PLLC is 1083401616. It was assigned to this organization in the NPPES registry on April 24, 2025.

Q: What is South Loop Dental Services, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since April 24, 2025

3577 YELLOWSTONE BLVD, HOUSTON, TX 77021(713) 398-5329 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Loop Dental Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH LOOP DENTAL SERVICES, PLLC (NPI 1083401616) is a healthcare organization registered as a pediatric dentistry in Houston, Texas and active in the NPI registry since April 2025. The organization lists Tara Nicole Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1083401616

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSOUTH LOOP DENTAL SERVICES, PLLC

Location Address3577 YELLOWSTONE BLVDHouston, TX 77021-2440

Mailing AddressPo Box 8144Houston, TX 77288-8144 · (713) 398-5329

Phone(713) 398-5329

Organization SubpartNo

Authorized OfficialTara Nicole JohnsonOwner · (713) 398-5329

Enumeration DateApril 24, 2025

Last NPPES UpdateSeptember 11, 2025

NPPES CertifiedSeptember 11, 2025

✔ NPI 1083401616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3577 YELLOWSTONE BLVD, Houston, TX 77021

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Other Identifiers 1

Medicaid1851685697TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Loop Dental Services, PLLC's NPI number?

The NPI number for South Loop Dental Services, PLLC is 1083401616. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is South Loop Dental Services, PLLC located?

South Loop Dental Services, PLLC is located at 3577 Yellowstone Blvd, Houston, TX 77021. The listed phone number is (713) 398-5329.

What is South Loop Dental Services, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for South Loop Dental Services, PLLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.