WILLOWBROOK MALL DENTAL
NPI 1245770148
Dentist - General Practice in Houston, TX

Active since February 27, 2017
1684 WILLOWBROOK MALL, HOUSTON, TX 77070(281) 955-5558(281) 955-8763 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Willowbrook Mall Dental NPPES

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

WILLOWBROOK MALL DENTAL (NPI 1245770148) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since February 2017. The organization lists Vlada Matytsin, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1245770148
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFWB DENTAL
Location Address1684 WILLOWBROOK MALLHouston, TX 77070-6027
Mailing Address1684 Willowbrook MallHouston, TX 77070-6027 · (281) 955-5558 · Fax (281) 955-8763
Fax(281) 955-8763
Organization SubpartNo
Authorized OfficialVlada MatytsinOwner/dentist · (281) 955-5558
Enumeration DateFebruary 27, 2017
NPI 1245770148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 30466
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1684 WILLOWBROOK MALL, Houston, TX 77070

Other Names 1

Other NameWillowbrook Mall Dental

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

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1684 WILLOWBROOK MALL
HOUSTON, TX 77070

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 Fwb Dental's NPI number?

The NPI number for Fwb Dental is 1245770148. It was assigned to this organization in the NPPES registry on February 27, 2017. The provider is also known as Willowbrook Mall Dental.

Where is Fwb Dental located?

Fwb Dental is located at 1684 Willowbrook Mall, Houston, TX 77070. The listed phone number is (281) 955-5558.

What is Fwb Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fwb Dental was last updated on February 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.