MEDICARE: WESTHEIMER LAKES DENTAL

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	:	1396690665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTHEIMER LAKES DENTAL

Provider Business Mailing Address
First Line	:	26440 FM 1093 RD STE 340
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-7200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	26440 FM 1093 RD STE 340
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-7200
Country	:	US
Telephone Number	:	281-394-7581
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	DR. MARKQUADA M MEJU
Credential	:	DDS
Telephone Number	:	337-304-9489

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “WESTHEIMER LAKES DENTAL ” Practice Location

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