SUPER DENTAL BROS PLLC
NPI 1831927847
Dentist - Pediatric Dentistry in Houston, TX

Active since July 22, 2024
900 S WAYSIDE DR STE 100, HOUSTON, TX 77023(346) 397-0752 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Super Dental Bros Pllc NPPES

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

SUPER DENTAL BROS PLLC (NPI 1831927847) is a healthcare organization registered as a pediatric dentistry in Houston, Texas and active in the NPI registry since July 2024. The organization lists Michael Pontrelli, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1831927847
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSUPER DENTAL BROS PLLC
Location Address900 S WAYSIDE DR STE 100Houston, TX 77023-3418
Mailing Address900 S Wayside Dr Ste 100Houston, TX 77023-3418 · (346) 397-0752
Organization SubpartNo
Authorized OfficialMichael PontrelliChief Operations Officer · (832) 203-7968
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
NPI 1831927847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

900 S WAYSIDE DR STE 100, Houston, TX 77023

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

Accepted Insurance

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.

Dentist (Pediatric Dentistry)
900 S WAYSIDE DR STE 100
HOUSTON, TX 77023
Dentist (Pediatric Dentistry)
900 S WAYSIDE DR STE 100
HOUSTON, TX 77023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831927847, enumerated as an "organization" on July 22, 2024.

The provider is located at 900 S WAYSIDE DR STE 100 HOUSTON, TX 77023 and the phone number is (346) 397-0752.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.