Healthcare Provider Details

I. General information

NPI: 1891471959
Provider Name (Legal Business Name): DOMINIQUE ANGELE ANGIBEAU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 PEARLAND PKWY STE 120
PEARLAND TX
77581-5946
US

IV. Provider business mailing address

3407 S HALLS POINT CT
MISSOURI CITY TX
77459-6578
US

V. Phone/Fax

Practice location:
  • Phone: 281-435-2818
  • Fax:
Mailing address:
  • Phone: 281-435-2818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number40584
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: