OrganizationActive
South Loop Dental Services, PLLC
NPI 1083401616 · Pediatric Dentistry · Houston, TX
South Loop Dental Services, PLLC is a Pediatric Dentistry organization in Houston, TX (NPI 1083401616).
Provider details
- NPI number
- 1083401616
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tara Johnson, Owner(713) 398-5329
Practice location
3577 Yellowstone Blvd
Houston, TX 77021-2440
Phone: (713) 398-5329
Street-level locationGet directions
Mailing address
Po Box 8144
Houston, TX 77288-8144
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.