CUSTOM DENTAL OF THE COLONY, PLLC
NPI 1568123719
Clinic/Center - Dental in The Colony, TX

Q: What is Custom Dental Of The Colony, PLLC's NPI number?

The NPI number for Custom Dental Of The Colony, PLLC is 1568123719. It was assigned to this organization in the NPPES registry on January 9, 2022.

Q: What is Custom Dental Of The Colony, PLLC's specialty?

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

Active since January 09, 2022

4695 N COLONY BLVD STE 104, THE COLONY, TX 75056(972) 625-0213 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Custom Dental Of The Colony, Pllc NPPES

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

CUSTOM DENTAL OF THE COLONY, PLLC (NPI 1568123719) is a healthcare organization registered as a dental in The Colony, Texas and active in the NPI registry since January 2022. The organization lists Rene Rodgers, Coo, as its authorized official.

NPPES Registry Identity

NPI1568123719

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCUSTOM DENTAL OF THE COLONY, PLLC

Location Address4695 N COLONY BLVD STE 104The Colony, TX 75056-3330

Mailing Address4695 N Colony Blvd Ste 104The Colony, TX 75056-3330 · (972) 625-0213

Phone(972) 625-0213

Organization SubpartNo

Authorized OfficialRene RodgersCoo · (405) 227-6100

Enumeration DateJanuary 9, 2022

NPPES CertifiedJanuary 9, 2022

✔ NPI 1568123719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4695 N COLONY BLVD STE 104, The Colony, TX 75056

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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 Custom Dental Of The Colony, PLLC's NPI number?

The NPI number for Custom Dental Of The Colony, PLLC is 1568123719. It was assigned to this organization in the NPPES registry on January 9, 2022.

Where is Custom Dental Of The Colony, PLLC located?

Custom Dental Of The Colony, PLLC is located at 4695 N Colony Blvd Ste 104, The Colony, TX 75056. The listed phone number is (972) 625-0213.

What is Custom Dental Of The Colony, 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 Custom Dental Of The Colony, PLLC was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.