GULF COAST DENTAL PC
NPI 1912123092
Dentist - General Practice in Lake Jackson, TX

Active since April 17, 2007
309 GARLAND DR, LAKE JACKSON, TX 77566(979) 480-9300(979) 480-9310 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gulf Coast Dental Pc NPPES

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

GULF COAST DENTAL PC (NPI 1912123092), doing business as Kavitha Ginjupalli Dds Pc, is a healthcare organization registered as a general practice in Lake Jackson, Texas and active in the NPI registry since April 2007. The organization lists Kavitha Ginjupalli, President, as its authorized official.

NPPES Registry Identity

NPI1912123092
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGULF COAST DENTAL PC
Location Address309 GARLAND DRLake Jackson, TX 77566-6238
Mailing Address309 Garland DrLake Jackson, TX 77566-6238 · (979) 480-9300 · Fax (979) 480-9310
Fax(979) 480-9310
Organization SubpartNo
Authorized OfficialKavitha GinjupalliPresident · (979) 480-9300
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 12, 2008
NPI 1912123092 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 · 19499
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.
309 GARLAND DR, Lake Jackson, TX 77566

Other Names 1

Former Legal Business NameKavitha Ginjupalli Dds Pc

Other Identifiers 1

Medicaid0912784-01TX

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

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
309 GARLAND DR
LAKE JACKSON, TX 77566
Dentist (General Practice)
309 GARLAND DR
LAKE JACKSON, TX 77566
Dentist
309 GARLAND DR
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 Gulf Coast Dental PC's NPI number?

The NPI number for Gulf Coast Dental PC is 1912123092. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider was formerly known as Kavitha Ginjupalli Dds PC.

Where is Gulf Coast Dental PC located?

Gulf Coast Dental PC is located at 309 Garland Dr, Lake Jackson, TX 77566. The listed phone number is (979) 480-9300.

What is Gulf Coast Dental PC'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 Gulf Coast Dental PC was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.