SOUTHERN DENTAL AT WILLOWBROOK PLLC
NPI 1013380070
Dentist in Houston, TX

NPI Status: Active since November 12, 2015

Contact Information

17776 TOMBALL PKWY
20A
HOUSTON, TX
ZIP 77064
Phone: (678) 756-5921

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  • Organization
  • Dentist

About SOUTHERN DENTAL AT WILLOWBROOK PLLC

This page provides the complete NPI Profile along with additional information for Southern Dental At Willowbrook Pllc, a provider established in Houston, Texas operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1013380070 assigned on November 2015. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Steve Wingfield Dds (Coo)

NPI
1013380070
Provider Name
SOUTHERN DENTAL AT WILLOWBROOK PLLC
Entity Type
Organization
Location Address
17776 TOMBALL PKWY 20A HOUSTON, TX 77064
Location Phone
(678) 756-5921
Mailing Address
17776 TOMBALL PKWY 20A HOUSTON, TX 77064
Mailing Phone
(678) 756-5921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2015
Last Update Date
11-12-2015
Code Navigator

A dentist like Southern Dental At Willowbrook Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License State
TX
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVE WINGFIELD DDS

Authorized Official Title
COO
Authorized Official Phone
(678) 756-5921

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013380070
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023680014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 6 + 8 + 0 + 0 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013380070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174582522DR. SANDEEP MAMMEN DMD
Individual
Dentist (General Practice)17776 TOMBALL PKWY
HOUSTON, TX 77064
(713) 777-2777
1992960165DR. RENEE WHITING CRITTENDON D.M.D.
Individual
Dentist (General Practice)17776 TOMBALL PKWY
HOUSTON, TX 77064
(713) 777-2777
1073582466WILLOWBROOK TSO PC
Organization
Optometrist17776 TOMBALL PKWY SUITE #15
HOUSTON, TX 77064
(281) 890-8480
1063061182DR. ELISABETH ALLEN DMD
Individual
Dentist17776 TOMBALL PKWY
HOUSTON, TX 77064
(281) 469-4628

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013380070, enumerated in the NPI registry as an "organization" on November 12, 2015

The provider is located at 17776 Tomball Pkwy 20a Houston, Tx 77064 and the phone number is (678) 756-5921

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on November 12, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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