Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Dental of the Colony, PLLC

Organization Dental Clinic/Center · NPI 1568123719

Custom Dental of the Colony, PLLC is a Dental Clinic/Center in The Colony, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4695 N Colony Blvd Ste 104
The Colony, TX 75056-3330
Phone: (972) 625-0213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1568123719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rene Rodgers — Coo · (405) 227-6100
NPI enumeratedJanuary 9, 2022
Last updated in NPPESJanuary 9, 2022
Certification dateJanuary 9, 2022
Mailing address4695 N Colony Blvd Ste 104, The Colony, TX 75056-3330

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