MEDICARE: DR. BENJAMIN TY PO JR. D.D.S.

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	1223P0221X	Pediatric Dentistry	14885	TX

General Provider Information

NPI Number	:	1679585756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN TY PO JR. D.D.S.

Provider Business Mailing Address
First Line	:	32003 WENDT PARK TRCE
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-4187
Country	:	US
Telephone Number	:	281-346-0640
Fax Number	:

Provider Business Practice Location Address
First Line	:	2840 COMMERCIAL CENTER BLVD
Second Line	:	SUITE 101
City	:	KATY
State	:	TX
Zip	:	77494-6411
Country	:	US
Telephone Number	:	281-693-9100
Fax Number	:	281-693-9101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1982672515 — MR. ANDREW HARRIS PT
Practice Location Address:

2840 COMMERCIAL CENTER BLVD , SUITE 103
KATY, TX
77494-6411

Practice Phone: 281-693-1063
Practice Fax: 281-693-1081

1710034756 — STAR THERAPY CENTERS LIMITED PARTNERSHIP
Practice Location Address:

2840 COMMERCIAL CENTER BLVD , SUITE 103
KATY, TX
77494-6411

Practice Phone: 281-693-1063
Practice Fax: 281-693-1081

1306026984 — MRS. AMY MICHELLE GALPIN LPC-S
Practice Location Address:

2840 COMMERCIAL CENTER BLVD , SUITE 104
KATY, TX
77494-6411

Practice Phone: 281-785-5470
Practice Fax:

1134443468 — AMITA DAMANI DDS
Practice Location Address:

2840 COMMERCIAL CENTER BLVD , SUITE 101
KATY, TX
77494-6411

Practice Phone: 832-437-4894
Practice Fax:

1265753628 — MR. ANDREW O HYDE DPT
Practice Location Address:

2840 COMMERCIAL CENTER BLVD , SUITE 103
KATY, TX
77494-6411

Practice Phone: 281-693-1063
Practice Fax: 281-693-1081

1881027423 — NICOLE MARIE STOLLE PT
Practice Location Address:

2840 COMMERCIAL CENTER BLVD , SUITE 103
KATY, TX
77494-6411

Practice Phone: 281-693-1063
Practice Fax: 281-693-1081

Directions to “ DR. BENJAMIN TY PO JR. D.D.S.” 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 © 2007-2026 (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.