CANYON LAKE DENTAL PLLC
NPI 1447884176
Dentist - General Practice in Canyon Lake, TX

Q: What is Canyon Lake Dental PLLC's NPI number?

The NPI number for Canyon Lake Dental PLLC is 1447884176. It was assigned to this organization in the NPPES registry on March 3, 2020.

Q: What is Canyon Lake Dental PLLC's specialty?

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

Active since March 03, 2020

8565 FM 2673, CANYON LAKE, TX 78133(903) 360-8657 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Canyon Lake Dental Pllc NPPES

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

CANYON LAKE DENTAL PLLC (NPI 1447884176) is a healthcare organization registered as a general practice in Canyon Lake, Texas and active in the NPI registry since March 2020. The organization lists Dhaval Thakkar, Dentist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1447884176

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCANYON LAKE DENTAL PLLC

Location Address8565 FM 2673Canyon Lake, TX 78133-4908

Mailing Address9900 Westpark Dr Ste 350Houston, TX 77063-5285 · (903) 360-8657

Phone(903) 360-8657

Organization SubpartNo

Authorized OfficialDhaval ThakkarDentist/ Owner · (903) 360-8657

Enumeration DateMarch 3, 2020

NPPES CertifiedMarch 3, 2020

✔ NPI 1447884176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

8565 FM 2673, Canyon Lake, TX 78133

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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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Canyon Lake Dental PLLC's NPI number?

The NPI number for Canyon Lake Dental PLLC is 1447884176. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Canyon Lake Dental PLLC located?

Canyon Lake Dental PLLC is located at 8565 Fm 2673, Canyon Lake, TX 78133. The listed phone number is (903) 360-8657.

What is Canyon Lake Dental PLLC's specialty?

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

What insurance does Canyon Lake Dental PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Canyon Lake Dental PLLC 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 Canyon Lake Dental PLLC was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.