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Space City Pediatric Dentistry
Pediatric Dentist in Friendswood, Texas
NPI 1487811659

Space City Pediatric Dentistry is a Pediatric Dentist based in Friendswood, TX and is specialized in Pediatric Dentistry. Space City Pediatric Dentistry practices in Friendswood, TX. The NPI Number for Space City Pediatric Dentistry is 1487811659 and holds a License No. 10310 (Texas).

The current practice location address for Space City Pediatric Dentistry is 18174 Gulf Fwy Ste 100, Friendswood, TX and can be reached out via phone at 281-484-7732 and via fax at 888-397-0197.

Location: 18174 Gulf Fwy Ste 100, Friendswood, TX, 77546-2722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487811659
Provider Name
Space City Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
18174 Gulf Fwy Ste 100, Friendswood, TX, 77546-2722
Phone Number
281-484-7732
Fax Number
888-397-0197
Provider Enumeration Date
05/16/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
220062801 05 TX
009757801 05 TX
1487811659 05 TX
institution
Provider Business Practice Location Address Details
Address
18174 Gulf Fwy Ste 100
City
Friendswood
State
Texas
Zip
77546-2722
Phone Number
281-484-7732
Fax Number
888-397-0197
person
Provider Business Mailing Address Details
Address
18174 Gulf Fwy Ste 100
City
Friendswood
State
Texas
Zip
77546-2722
Phone Number
281-484-7732
Fax Number
888-397-0197
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
10310 (Texas)
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.
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