P Praxis·MD
● Active Type 2 · Organization

Time Square Dental Group

Dentist·Pasadena, TX· NPI 1225369077 · Enumerated 2010 · 16 years on NPI
Time Square Dental Group is 1 of 625 dentist organizations in Texas.
NPI age
16 years
Enumerated 2010-01-19
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Daccak
Owner
Last NPPES update
2010-01-19
Source: monthly bulk 2026-05

How this organization compares

Across 625 active dentist providers in Texas.

NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-01Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
4450 E Sam Houston Pkwy S, Suite H2
Pasadena, TX 775053950
📞 7139107779fax 7139107760
Mailing address
Po Box 460182
Houston, TX 770568182

Authorized official

Razan Daccak, D.D.S.
Owner
📞 7139107779

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
    taxonomy 1223P0300X

Identifiers

TypeValueNotes
05 (TX) 190182901

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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