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General NPI Number Information
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NPI Number | 1669323267
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Entity Type | Organization
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Legal Business Name | FAMILY ORAL HEALTH AND ORTHODONTIC PLLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 6400 WEST PARK DR. SUITE 430
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City | HOUSTON
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State | TX
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Zip | 77057-7202
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Country | US
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Telephone | 713-977-6917
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Fax | 713-534-1354
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Provider Business Mailing Address
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Address Line | 6863 TURTLEWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77072-2751
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Country | US
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Telephone | 713-977-6917
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Fax | 713-534-1354
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Authorized Official
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Title or Position | DENTIST
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Name | JOSE ANGEL RIVERA-GAUTIER
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Credential | DMD
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Telephone | 713-977-6917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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