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PREMIER DENTAL CLUB PC
NPI 1851025118
Dentist - General Practice in Houston, TX

Active since July 13, 2022CLIA 45D2331499 · Waiver
9720 CYPRESSWOOD DR STE 200, HOUSTON, TX 77070(346) 296-9056(346) 501-4160 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2022, Jul 13, 2022 (2 updates tracked since 2022).

About Premier Dental Club Pc NPPES

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

PREMIER DENTAL CLUB PC (NPI 1851025118), doing business as Premier Dental Club, is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Jaya Mangal, Owner, as its authorized official.

NPPES Registry Identity

NPI1851025118
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePREMIER DENTAL CLUB PC
Location Address9720 CYPRESSWOOD DR STE 200Houston, TX 77070-3357
Mailing Address9720 Cypresswood Dr Ste 200Houston, TX 77070-3357 · (346) 296-9056 · Fax (346) 501-4160
Phone(346) 296-9056
Fax(346) 501-4160
Organization SubpartNo
Authorized OfficialJaya MangalOwner · (848) 218-8836
Enumeration DateJuly 13, 2022
Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
✔ NPI 1851025118 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.
9720 CYPRESSWOOD DR STE 200, Houston, TX 77070
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Other Names 1

Doing Business AsPremier Dental Club

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2331499

Premier Dental Club PC · Houston, TX
Active · expires Oct 1, 2027
CLIA Number45D2331499
Laboratory TypePractitioner Other
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorJaya Mangal
Laboratory Phone(346) 296-9056
Laboratory LocationPremier Dental Club PC9720 Cypresswood Dr. Suite 200, Houston, TX 77070
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JAYA MANGAL DDS
Dentist (General Practice)
9720 CYPRESSWOOD DR STE 200
HOUSTON, TX 77070
Harris County (346) 296-9056

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 Premier Dental Club PC's NPI number?

The NPI number for Premier Dental Club PC is 1851025118. It was assigned to this organization in the NPPES registry on July 13, 2022. The provider is doing business as Premier Dental Club.

Where is Premier Dental Club PC located?

Premier Dental Club PC is located at 9720 Cypresswood Dr Ste 200, Houston, TX 77070. The listed phone number is (346) 296-9056.

What is Premier Dental Club PC's specialty?

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

Does Premier Dental Club PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2331499) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Dental Club PC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.