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NPI Code Detail

MEDICARE: CHAMPIONS DENTISTRY PLLC

MEDICARE: CHAMPIONS DENTISTRY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11902910540OTHERTXNPI
21558899518OTHERTXNPI

General Provider Information

NPI Number : 1043842156
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAMPIONS DENTISTRY PLLC
Provider Business Mailing Address
First Line : 8419 LOUETTA RD STE A
Second Line :
City : SPRING
State : TX
Zip : 77379-6737
Country : US
Telephone Number : 281-401-8200
Fax Number : 281-401-8201
Provider Business Practice Location Address
First Line : 8419 LOUETTA RD STE A
Second Line :
City : SPRING
State : TX
Zip : 77379-6737
Country : US
Telephone Number : 281-401-8200
Fax Number : 281-401-8201
Authorized Official
Title or Position : FINANCIAL COORDINATOR
Name : KAY HAGGARD
Credential : OFFICCE STAFF
Telephone Number : 281-401-8200
Provider Enumeration Date : 02/06/2020
Last Update Date : 04/21/2026

Similar Medicare Providers

1902910540 — SHELLIE ALESHA REAGAN DDS
Practice Location Address:
8419 LOUETTA RD , SUITE A
SPRING, TX
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Practice Fax: 281-401-8201
1356470041 — TROY C. BECKER, O.D., P.C.
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1396968178 — DR. TROY CULLEN BECKER O.D.
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8403 LOUETTA RD # 100
SPRING, TX
77379-6737
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Practice Fax: 832-717-7142
1396968079 — DR. BETTY THAO VINH O.D.
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SPRING, TX
77379-6737
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1285356279 — CHAN DERMATOLOGY PLLC
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Directions to “CHAMPIONS DENTISTRY PLLC ” Practice Location

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