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VINTAGE MODERN DENTISTRY, PC
NPI 1578311593
Dentist - General Practice in Houston, TX

Active since May 07, 2024
10927 LOUETTA RD STE 240, HOUSTON, TX 77070(713) 885-9153 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vintage Modern Dentistry, Pc NPPES

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

VINTAGE MODERN DENTISTRY, PC (NPI 1578311593) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since May 2024. The organization lists Shahla Mousavi, Dds, as its authorized official.

NPPES Registry Identity

NPI1578311593
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVINTAGE MODERN DENTISTRY, PC
Location Address10927 LOUETTA RD STE 240Houston, TX 77070-1893
Mailing AddressPo Box 920050Dallas, TX 75392-0050
Phone(713) 885-9153
Organization SubpartNo
Authorized OfficialShahla MousaviDds · (714) 845-8500
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1578311593 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.
10927 LOUETTA RD STE 240, Houston, TX 77070
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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 ›

Other Providers at the Same Location NPPES

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

AFIFA ANWAR
Dentist (General Practice)
10927 LOUETTA RD STE 240
HOUSTON, TX 77070
Harris County (713) 885-9153

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 Vintage Modern Dentistry, PC's NPI number?

The NPI number for Vintage Modern Dentistry, PC is 1578311593. It was assigned to this organization in the NPPES registry on May 7, 2024.

Where is Vintage Modern Dentistry, PC located?

Vintage Modern Dentistry, PC is located at 10927 Louetta Rd Ste 240, Houston, TX 77070. The listed phone number is (713) 885-9153.

What is Vintage Modern Dentistry, PC's specialty?

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

What insurance does Vintage Modern Dentistry, PC 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 Vintage Modern Dentistry, PC 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 Vintage Modern Dentistry, PC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.