OrganizationActive
South Loop Dental Services, PLLC
NPI 1083401616 · Pediatric Dentistry · Houston, TX
Provider details
- NPI number
- 1083401616
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tara Johnson, Owner(713) 398-5329
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
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.