Lytle Dental PLLC
Dentist, General Practice in Lytle, TX. Organization (NPI-2).
NPI number1508372129
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1508372129
- Entity type
- Organization (NPI-2)
- Legal business name
- Lytle Dental PLLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2017
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 25968 | TX | Yes |
Other names
- Lytle Dental & Orthodontics (Doing Business As)
Practice location
19450 McDonald St Ste 101Lytle, TX 78052-3649
Phone 281-328-4900
Mailing address
3838 N Sam Houston Pkwy E Ste 430Houston, TX 77032-3418
Phone 832-369-6941
Authorized official
Geetika Rastogi
Owner
8323696941
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 General Practice Dentistry providers in Lytle, TX
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- James Henry Houston, DDSNPI 1841374808
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All 7 General Practice Dentistry providers in Lytle · All 152 providers in Lytle
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