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

Port Lavaca Dentistry PLLC

Organization Dentist · NPI 1881005296

Port Lavaca Dentistry PLLC is a Dentist in Port Lavaca, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1606 N Virginia St
Port Lavaca, TX 77979
Phone: (361) 552-5800
Fax: (888) 276-1646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 27025 (TX)

Record details

NPI number1881005296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paola Lopez — Payer Enrollment Team Lead · (972) 869-3789
NPI enumeratedMay 20, 2014
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing addressAttn: Credentialing, 2403 Lacy Lane, Carrollton, TX 75006

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