Healthcare Provider Details

I. General information

NPI: 1366368532
Provider Name (Legal Business Name): SPRINGCREEK ENDODONTIC OFFICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25213 FM 2978, BLDG. 2
TOMBALL TX
77375
US

IV. Provider business mailing address

25213 FM 2978, BLDG. 2
TOMBALL TX
77375
US

V. Phone/Fax

Practice location:
  • Phone: 281-547-2014
  • Fax: 281-547-2015
Mailing address:
  • Phone: 281-547-2014
  • Fax: 281-547-2015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: MELISSA MARCHESAN
Title or Position: OWNER
Credential: DDS
Phone: 281-547-2014