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Bk Dental Management PA

Dentist, Prosthodontics in Houston, TX. Organization (NPI-2).

NPI number1053742007
StatusActive
Last updated in NPPESDec 2, 2013

Details

NPI
1053742007
Entity type
Organization (NPI-2)
Legal business name
Bk Dental Management PA
Organization subpart
No
Enumeration date
Dec 2, 2013
Last updated
Dec 2, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, Prosthodontics––Yes

Practice location

12523 Greenspoint Dr
Houston, TX 77060-1307

Phone 281-876-2278 · Fax 281-876-1607

Mailing address

12523 Greenspoint Dr
Houston, TX 77060-1307

Phone 281-876-2278 · Fax 281-876-1607

Authorized official

Louis-Philippe Bosse
Owner
2818762278

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Prosthodontics providers in Houston, TX

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