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TIME SQUARE DENTAL GROUP
NPI 1225369077
Dentist - Periodontics in Pasadena, TX

Active since January 19, 2010
4450 E SAM HOUSTON PKWY S, SUITE H2, PASADENA, TX 77505(713) 910-7779(713) 910-7760 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Time Square Dental Group NPPES

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

TIME SQUARE DENTAL GROUP (NPI 1225369077) is a healthcare organization registered as a periodontics in Pasadena, Texas and active in the NPI registry since January 2010. The organization lists Razan Daccak, Owner, as its authorized official.

NPPES Registry Identity

NPI1225369077
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameTIME SQUARE DENTAL GROUP
Location Address4450 E SAM HOUSTON PKWY S, SUITE H2Pasadena, TX 77505-3950
Mailing AddressPo Box 460182Houston, TX 77056-8182
Phone(713) 910-7779
Fax(713) 910-7760
Organization SubpartNo
Authorized OfficialRazan DaccakOwner · (713) 910-7779
Enumeration DateJanuary 19, 2010
✔ NPI 1225369077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4450 E SAM HOUSTON PKWY S, Pasadena, TX 77505
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Other Identifiers 1

Medicaid190182901TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT ERIC SEGAL MD
Ophthalmology
4450 E SAM HOUSTON PKWY S, SUIT E
PASADENA, TX 77505
Harris County (713) 473-5715
DEREK NG OD
Optometrist
4450 E SAM HOUSTON PKWY S
PASADENA, TX 77505
Harris County (713) 473-5715
STEPHEN HAKIMI OD
Optometrist
4450 E SAM HOUSTON PKWY S, SUITE E
PASADENA, TX 77505
Harris County (713) 473-5715
MS. RAZAN DACCAK D.D.S.
Dentist (General Practice)
4450 E SAM HOUSTON PKWY S, SUITE H
PASADENA, TX 77505
Harris County (832) 426-4433
RUKAN DACCAK M.D.
Internal Medicine (Gastroenterology)
4450 E SAM HOUSTON PKWY S, STE H2
PASADENA, TX 77505
Harris County (713) 910-7779

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 Time Square Dental Group's NPI number?

The NPI number for Time Square Dental Group is 1225369077. It was assigned to this organization in the NPPES registry on January 19, 2010.

Where is Time Square Dental Group located?

Time Square Dental Group is located at 4450 E Sam Houston Pkwy S Suite H2, Pasadena, TX 77505. The listed phone number is (713) 910-7779.

What is Time Square Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Time Square Dental Group accept?

Health plans from DentaQuest USA Insurance Company, Inc. and UnitedHealthcare list Time Square Dental Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Time Square Dental Group was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.