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

Periogoldental PA

Organization Dental Clinic/Center · NPI 1659507002

Periogoldental PA is a Dental Clinic/Center in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 N Dixie Dr Ste 300
Lake Jackson, TX 77566-5958
Phone: (979) 285-9998
Fax: (979) 480-0411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 20347 (TX)

Record details

NPI number1659507002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristina Ross — President · (979) 285-9998
NPI enumeratedMay 29, 2009
Last updated in NPPESMay 29, 2009
Mailing address115 N Dixie Dr Ste 300, Lake Jackson, TX 77566-5958

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