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HOLLYWOOD DENTIST FOUR
NPI 1619367612
Dentist - General Practice in Houston, TX

Active since January 28, 2015
12620 WOODFOREST BLVD STE 420A, HOUSTON, TX 77015(713) 637-8000(713) 637-6558 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hollywood Dentist Four NPPES

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

HOLLYWOOD DENTIST FOUR (NPI 1619367612) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since January 2015. The organization lists Jeffrey M. Tang, Owner, as its authorized official.

NPPES Registry Identity

NPI1619367612
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHOLLYWOOD DENTIST FOUR
Location Address12620 WOODFOREST BLVD STE 420AHouston, TX 77015-3643
Mailing Address12620 Woodforest Blvd Ste 420aHouston, TX 77015-3643 · (713) 637-8000 · Fax (713) 637-6558
Phone(713) 637-8000
Fax(713) 637-6558
Organization SubpartNo
Authorized OfficialJeffrey M. TangOwner · (713) 637-8000
Enumeration DateJanuary 28, 2015
✔ NPI 1619367612 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 · 30127
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.
12620 WOODFOREST BLVD STE 420A, Houston, TX 77015
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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 2

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

A&B DENTAL PA
Dentist (General Practice)
12620 WOODFOREST BLVD STE 420A
HOUSTON, TX 77015
Harris County (713) 637-8000
HOLLYWOOD DENTISTS ONE
Dentist (General Practice)
12620 WOODFOREST BLVD STE 420A
HOUSTON, TX 77015
Harris County (713) 637-8000

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 Hollywood Dentist Four's NPI number?

The NPI number for Hollywood Dentist Four is 1619367612. It was assigned to this organization in the NPPES registry on January 28, 2015.

Where is Hollywood Dentist Four located?

Hollywood Dentist Four is located at 12620 Woodforest Blvd Ste 420A, Houston, TX 77015. The listed phone number is (713) 637-8000.

What is Hollywood Dentist Four'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 Hollywood Dentist Four was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.