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General NPI Number Information
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NPI Number | 1124901285
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Entity Type | Organization
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Legal Business Name | PVR DENTAL PLLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 21920 WEST RD STE 300
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City | CYPRESS
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State | TX
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Zip | 77433
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Country | US
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Telephone | 281-746-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 18307 WESTCAVE CREEK DR
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City | CYPRESS
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State | TX
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Zip | 77433-1121
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Country | US
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Telephone | 281-746-6050
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. PIYUSH HEDA
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Credential | MSC
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Telephone | 281-746-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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