MEDICARE: HOLLYWOOD DENTISTS ONE

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
1	1223G0001X	General Practice Dentistry	27338	TX

General Provider Information

NPI Number	:	1407267933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLYWOOD DENTISTS ONE

Provider Business Mailing Address
First Line	:	12620 WOODFOREST BLVD STE 420A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-3643
Country	:	US
Telephone Number	:	713-637-8000
Fax Number	:	713-637-6558

Provider Business Practice Location Address
First Line	:	12620 WOODFOREST BLVD STE 420A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-3643
Country	:	US
Telephone Number	:	713-637-8000
Fax Number	:	713-637-6558

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ANH MAI
Credential	:
Telephone Number	:	281-589-1111

Provider Enumeration Date	:	05/19/2014
Last Update Date	:	05/19/2014

Similar Medicare Providers

1124223672 — A&B DENTAL PA
Practice Location Address:

12620 WOODFOREST BLVD STE 420A
HOUSTON, TX
77015-3643

Practice Phone: 713-637-8000
Practice Fax: 713-637-6558

1619367612 — HOLLYWOOD DENTIST FOUR
Practice Location Address:

12620 WOODFOREST BLVD STE 420A
HOUSTON, TX
77015-3643

Practice Phone: 713-637-8000
Practice Fax: 713-637-6558

1558292599 — JEWEL GONZALES
Practice Location Address:

1701 JACQUELYN DR
HOUSTON, TX
77055-3643

Practice Phone: 713-909-4457
Practice Fax:

1588142111 — KATALINA PEREZ RN
Practice Location Address:

8922 IRON SPRINGS DR
HOUSTON, TX
77034-3643

Practice Phone: 281-788-0771
Practice Fax:

1699368415 — UCHE ANADU NDEFO PHARMD
Practice Location Address:

4039 VILLANOVA ST
HOUSTON, TX
77005-3643

Practice Phone: 803-351-0266
Practice Fax:

1275392599 — VENESSA MONIQUE SLATER RN, IBCLC
Practice Location Address:

5330 CASTLECREEK LN
HOUSTON, TX
77053-3643

Practice Phone: 713-449-6298
Practice Fax:

Directions to “HOLLYWOOD DENTISTS ONE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.