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

Vintage Modern Dentistry, PC

Organization General Practice Dentistry · NPI 1578311593

Vintage Modern Dentistry, PC is a General Practice Dentistry in Houston, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10927 Louetta Rd Ste 240
Houston, TX 77070-1893
Phone: (713) 885-9153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1578311593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahla Mousavi — Dds · (714) 845-8500
NPI enumeratedMay 7, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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