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LAKE JACKSON FAMILY DENTISTRY PLLC
NPI 1386351062
Clinic/Center - Dental in Lake Jackson, TX

Active since November 01, 2022
103 N DIXIE DR, LAKE JACKSON, TX 77566(979) 297-6438 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lake Jackson Family Dentistry Pllc NPPES

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

LAKE JACKSON FAMILY DENTISTRY PLLC (NPI 1386351062) is a healthcare organization registered as a dental in Lake Jackson, Texas and active in the NPI registry since November 2022. The organization lists Thomas Ellisor, Owner, as its authorized official.

NPPES Registry Identity

NPI1386351062
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE JACKSON FAMILY DENTISTRY PLLC
Location Address103 N DIXIE DRLake Jackson, TX 77566-5940
Mailing Address103 N Dixie DrLake Jackson, TX 77566-5940 · (979) 297-6438
Phone(979) 297-6438
Organization SubpartNo
Authorized OfficialThomas EllisorOwner · (979) 297-6438
Enumeration DateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1386351062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
103 N DIXIE DR, Lake Jackson, TX 77566
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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.

CYNTHIA OVERHOLSER DDS
Clinic/Center (Dental)
103 N DIXIE DR
LAKE JACKSON, TX 77566
Brazoria County (979) 297-6438
MAX CARROLL MAYS DDS
Dentist (General Practice)
103 N DIXIE DR
LAKE JACKSON, TX 77566
Brazoria County (979) 297-6438
GARY DAWAYNE WEEKS D.D.S.
Dentist (General Practice)
103 N DIXIE DR
LAKE JACKSON, TX 77566
Brazoria County (979) 297-6438
DR. THOMAS ALAN ELLISOR D.D.S.
Dentist
103 N DIXIE DR
LAKE JACKSON, TX 77566
Brazoria County (979) 297-6438
DR. CYNTHIA ANNE OVERHOLSER D.D.S.
Dentist (General Practice)
103 N DIXIE DR
LAKE JACKSON, TX 77566
Brazoria County (979) 297-6438

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 Lake Jackson Family Dentistry PLLC's NPI number?

The NPI number for Lake Jackson Family Dentistry PLLC is 1386351062. It was assigned to this organization in the NPPES registry on November 1, 2022.

Where is Lake Jackson Family Dentistry PLLC located?

Lake Jackson Family Dentistry PLLC is located at 103 N Dixie Dr, Lake Jackson, TX 77566. The listed phone number is (979) 297-6438.

What is Lake Jackson Family Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Lake Jackson Family Dentistry PLLC was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.