OrganizationActive
Time Square Dental Group
NPI 1225369077 · Periodontics · Pasadena, TX
Time Square Dental Group is a Periodontics organization in Pasadena, TX (NPI 1225369077).
Provider details
- NPI number
- 1225369077
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Razan Daccak, Owner(713) 910-7779
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs 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
4450 E Sam Houston Pkwy S
Suite H2
Pasadena, TX 77505-3950
Phone: (713) 910-7779
Fax: (713) 910-7760
Street-level locationGet directions
Mailing address
Po Box 460182
Houston, TX 77056-8182
Registry dates
- Enumerated
- 2010-01-19
- Last updated
- 2010-01-19
Frequently asked questions
- What is Time Square Dental Group's NPI number?
- Time Square Dental Group's National Provider Identifier (NPI) is 1225369077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Time Square Dental Group?
- Time Square Dental Group is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Time Square Dental Group located?
- Time Square Dental Group's practice location on file with NPPES is 4450 E Sam Houston Pkwy S, Pasadena, TX 77505-3950.
- What is Time Square Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Time Square Dental Group is (713) 910-7779.
- Who is the authorized official for Time Square Dental Group?
- The authorized official listed on Time Square Dental Group's NPPES record is Razan Daccak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Time Square Dental Group's NPI active?
- Yes — Time Square Dental Group's NPI (1225369077) is active in the NPPES registry as of the last update on 2010-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.