PERIOGOLDENTAL P.A
NPI 1659507002
Clinic/Center - Dental in Lake Jackson, TX

Active since May 29, 2009
115 N DIXIE DR STE 300, LAKE JACKSON, TX 77566(979) 285-9998(979) 480-0411 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Periogoldental P.a NPPES

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

PERIOGOLDENTAL P.A (NPI 1659507002) is a healthcare organization registered as a dental in Lake Jackson, Texas and active in the NPI registry since May 2009. The organization lists Cristina Ross, President, as its authorized official.

NPPES Registry Identity

NPI1659507002
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePERIOGOLDENTAL P.A
Location Address115 N DIXIE DR STE 300Lake Jackson, TX 77566-5958
Mailing Address115 N Dixie Dr Ste 300Lake Jackson, TX 77566-5958 · (979) 285-9998 · Fax (979) 480-0411
Fax(979) 480-0411
Organization SubpartNo
Authorized OfficialCristina RossPresident · (979) 285-9998
Enumeration DateMay 29, 2009
NPI 1659507002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in TX · 20347
115 N DIXIE DR STE 300, Lake Jackson, TX 77566

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
115 N DIXIE DR STE 300
LAKE JACKSON, TX 77566

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 Periogoldental P.A's NPI number?

The NPI number for Periogoldental P.A is 1659507002. It was assigned to this organization in the NPPES registry on May 29, 2009.

Where is Periogoldental P.A located?

Periogoldental P.A is located at 115 N Dixie Dr Ste 300, Lake Jackson, TX 77566. The listed phone number is (979) 285-9998.

What is Periogoldental P.A'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 Periogoldental P.A was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.