MEDICARE: SILVERLIGHT 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	122300000X	Dentist	29126	TX

General Provider Information

NPI Number	:	1538587811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVERLIGHT DENTAL

Provider Business Mailing Address
First Line	:	4000 LOUETTA RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4405
Country	:	US
Telephone Number	:	832-510-8306
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 LOUETTA RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4405
Country	:	US
Telephone Number	:	832-510-8306
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. JIE LIU
Credential	:	DDS, MS
Telephone Number	:	832-510-8306

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	04/03/2014

Similar Medicare Providers

1689671059 — SHAUNA W DEPTA MD
Practice Location Address:

4002 LOUETTA ROAD
SPRING, TX
77388-4405

Practice Phone: 281-444-1770
Practice Fax: 281-444-4739

1942239140 — HOUSTON NORTHWEST REHAB, LLC
Practice Location Address:

4405 SPRING CYPRESS RD , SUITE 111
SPRING, TX
77388-4400

Practice Phone: 281-353-8333
Practice Fax: 281-353-8367

1801933320 — KEVIN JOHN DIETRICH RN
Practice Location Address:

4002 LOUETTA RD
SPRING, TX
77388-4405

Practice Phone: 832-717-4083
Practice Fax: 281-655-5234

1548383904 — JEFFREY WAYNE WILLIAMS LCDC
Practice Location Address:

4405 SPRING CYPRESS RD , SUITE 111
SPRING, TX
77388-4400

Practice Phone: 281-353-8333
Practice Fax: 281-353-8367

1952624074 — GREATER DALLAS HEALTHCARE ENTERPRISES
Practice Location Address:

4002 LOUETTA RD
SPRING, TX
77388-4405

Practice Phone: 214-553-9009
Practice Fax:

1679112452 — ALANA COOK
Practice Location Address:

4008 LOUETTA RD STE 456
SPRING, TX
77388-4405

Practice Phone: 834-224-3450
Practice Fax: 832-365-7974

Directions to “SILVERLIGHT DENTAL ” 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.