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

Hollywood Dentist Four

Organization General Practice Dentistry · NPI 1619367612

Hollywood Dentist Four is a General Practice Dentistry in Houston, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015

Practice location Address checks out

12620 Woodforest Blvd Ste 420A
Houston, TX 77015-3643
Phone: (713) 637-8000
Fax: (713) 637-6558
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30127 (TX)

Record details

NPI number1619367612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Tang — Owner · (713) 637-8000
NPI enumeratedJanuary 28, 2015
Last updated in NPPESJanuary 28, 2015
Mailing address12620 Woodforest Blvd Ste 420a, Houston, TX 77015-3643

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