P Praxis·MD
● Active Type 2 · Organization

Custom Dental Of The Colony, Pllc

Clinic/Center·The Colony, TX· NPI 1568123719 · Enumerated 2022 · 4 years on NPI
Custom Dental Of The Colony, Pllc is 1 of 1762 clinic/center organizations in Texas.
NPI age
4 years
Enumerated 2022-01-09
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rodgers
Coo
Last NPPES update
2022-01-09
Source: monthly bulk 2026-05

How this organization compares

Across 1762 active clinic/center providers in Texas.

NPI age
4 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-01Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
4695 N Colony Blvd Ste 104
The Colony, TX 750563330
📞 9726250213
Mailing address
4695 N Colony Blvd Ste 104
The Colony, TX 750563330
📞 9726250213

Authorized official

Rene Rodgers
Coo
📞 4052276100

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QD0000X

Practice context

Single-site organization. Only one practice location on file.

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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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