MEDICARE: WOODLANDS ELITE DENTAL PARTNERS, PLLC

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
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407969009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODLANDS ELITE DENTAL PARTNERS, PLLC

Provider Business Mailing Address
First Line	:	26615 OAK RIDGE DR
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1968
Country	:	US
Telephone Number	:	281-296-8600
Fax Number	:	281-296-9509

Provider Business Practice Location Address
First Line	:	25300 BOROUGH PARK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-3552
Country	:	US
Telephone Number	:	281-296-0052
Fax Number	:	281-296-0118

Authorized Official
Title or Position	:	DIR. OPERATIONS/PROFESIONAL RELATIO
Name	:	DEA ANN KIPP
Credential	:
Telephone Number	:	281-296-8600

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	06/19/2023

Similar Medicare Providers

1871666511 — SUNRISE CHIROPRACTIC GROUP PA
Practice Location Address:

25300 BOROUGH PARK DR , SUITE B
SPRING, TX
77380-3552

Practice Phone: 281-298-8716
Practice Fax:

1750494738 — WOODLANDS SPECIALTY GROUP PLLC
Practice Location Address:

25300 BOROUGH PARK DR , SUITE A
SPRING, TX
77380-3552

Practice Phone: 281-296-0007
Practice Fax: 281-296-0118

1760595698 — DR. ALLAN MARK HAMBURG D.D.S.
Practice Location Address:

25300 BOROUGH PARK DR
SPRING, TX
77380-3552

Practice Phone: 281-296-0058
Practice Fax: 281-296-0118

1508971334 — DR. JASON S CERELLI D.D.S.
Practice Location Address:

25300 BOROUGH PARK DR
SPRING, TX
77380-3552

Practice Phone: 281-296-0052
Practice Fax: 281-296-0118

1649385345 — DR. BEAU BLANKENSHIP D.D.S.
Practice Location Address:

25300 BOROUGH PARK DR
SPRING, TX
77380-3552

Practice Phone: 281-296-0052
Practice Fax: 281-296-0118

1215008743 — DR. TODD EDWARD HATCH D.C.
Practice Location Address:

25300 BOROUGH PARK DR , SUITE B
SPRING, TX
77380-3552

Practice Phone: 281-367-0404
Practice Fax: 281-298-5248

Directions to “WOODLANDS ELITE DENTAL PARTNERS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.