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PORT LAVACA DENTISTRY PLLC
NPI 1881005296
Dentist in Port Lavaca, TX

Active since May 20, 2014
1606 N VIRGINIA ST, PORT LAVACA, TX 77979(361) 552-5800(888) 276-1646 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Sep 16, 2022 (2 updates tracked since 2022).

About Port Lavaca Dentistry Pllc NPPES

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

PORT LAVACA DENTISTRY PLLC (NPI 1881005296) is a healthcare organization registered as a dentist in Port Lavaca, Texas and active in the NPI registry since May 2014. The organization lists Paola Lopez, Payer Enrollment Team Lead, as its authorized official.

NPPES Registry Identity

NPI1881005296
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePORT LAVACA DENTISTRY PLLC
Location Address1606 N VIRGINIA STPort Lavaca, TX 77979
Mailing AddressAttn: Credentialing, 2403 Lacy LaneCarrollton, TX 75006 · (972) 869-3789 · Fax (888) 276-1646
Phone(361) 552-5800
Fax(888) 276-1646
Organization SubpartNo
Authorized OfficialPaola LopezPayer Enrollment Team Lead · (972) 869-3789
Enumeration DateMay 20, 2014
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1881005296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 27025
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1606 N VIRGINIA ST, Port Lavaca, TX 77979
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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.

DR. BRYCE ALLEN O'DONNELL DDS
Dentist
1606 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-5800
DR. RICHARD MATTHEW TERASAKI D.D.S.
Dentist
1606 N VIRGINIA ST
PORT LAVACA, TX 77979
Calhoun County (361) 552-5800

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 Port Lavaca Dentistry PLLC's NPI number?

The NPI number for Port Lavaca Dentistry PLLC is 1881005296. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Port Lavaca Dentistry PLLC located?

Port Lavaca Dentistry PLLC is located at 1606 N Virginia St, Port Lavaca, TX 77979. The listed phone number is (361) 552-5800.

What is Port Lavaca Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Port Lavaca Dentistry PLLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.