MEDICARE: DENTINI COPPERFIELD

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

General Provider Information

NPI Number	:	1013873124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTINI COPPERFIELD

Provider Business Mailing Address
First Line	:	16103 W LITTLE YORK RD STE O
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-6867
Country	:	US
Telephone Number	:	713-322-6262
Fax Number	:	713-903-7237

Provider Business Practice Location Address
First Line	:	16103 W LITTLE YORK RD STE O
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-6867
Country	:	US
Telephone Number	:	713-322-6262
Fax Number	:	713-903-7237

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH BRICENO
Credential	:	DMD
Telephone Number	:	713-242-1288

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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Directions to “DENTINI COPPERFIELD ” Practice Location

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