Port Lavaca Dentistry Pllc is a Dental Clinic in Port Lavaca, Texas. It is located at 1606 N Virginia St, Port Lavaca, TX and its contact number is 361-552-5800. The authorized person for Port Lavaca Dentistry Pllc is Paola Lopez
who is Payer Enrollment Team Lead of the clinic and their contact number is 972-869-3789. The primary license number for Port Lavaca Dentistry Pllc is 27025 (Dentist) in Texas.
Port Lavaca Dentistry Pllc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Port Lavaca Dentistry Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Port Lavaca Dentistry Pllc |
| Specialization: | Dentistry |
| Clinic Address: | 1606 N Virginia St, Port Lavaca,
Texas, 77979 |
| Phone: | 361-552-5800 |
| Fax: | 888-276-1646 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Paola Lopez |
| Position: | Payer Enrollment Team Lead |
| Contact Number: | 972-869-3789 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Port Lavaca Dentistry Pllc clinic are as mentioned below.
| NPI Number: | 1881005296 |
| NPI Enumeration Date: | 20 May, 2014 |
| NPI Last Update On: | 04 Dec, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Port Lavaca Dentistry Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 27025 | Texas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Port Lavaca Dentistry Pllc
Attn: Credentialing, 2403 Lacy Lane
Carrollton, Texas |
| Zip: | 75006 |
| Phone Number: | 972-869-3789 |
| Fax Number: | 888-276-1646 |
Patients can reach Port Lavaca Dentistry Pllc at
1606 N Virginia St, Port Lavaca, Texas or can
call to book an appointment on 361-552-5800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.