NPI age
3 years
Enumerated 2022-11-01
● Active Type 2 · Organization
Lake Jackson Family Dentistry Pllc
Lake Jackson Family Dentistry Pllc is 1 of 1762 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellisor
Owner
Last NPPES update
2022-11-01
Source: monthly bulk 2026-05
How this organization compares
Across 1762 active clinic/center providers in Texas.
NPI age
3 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
103 N Dixie Dr
Lake Jackson, TX 775665940
Mailing address
103 N Dixie Dr
Lake Jackson, TX 775665940
Authorized official
Thomas Ellisor, DDS
Owner
📞 9792976438
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Thomas Ellisor, D.D.S. Dentist NPI 1649617838
- Max Mays, DDS Dentist NPI 1366552119
- Cynthia Overholser, D.D.S. Dentist NPI 1790888527
- Gary Weeks, D.D.S. Dentist NPI 1538164967
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.