South Loop Dental Services, Pllc is a Pediatric Dental Clinic in Houston, Texas. It is located at 3577 Yellowstone Blvd, Houston, TX and its contact number is 713-398-5329. The authorized person for South Loop Dental Services, Pllc is Tara Nicole Johnson
who is Owner of the clinic and their contact number is 713-398-5329.
South Loop Dental Services, Pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
South Loop Dental Services, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | South Loop Dental Services, Pllc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 3577 Yellowstone Blvd, Houston,
Texas, 77021-2440 |
| Phone: | 713-398-5329 |
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: | Tara Nicole Johnson |
| Position: | Owner |
| Contact Number: | 713-398-5329 |
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 South Loop Dental Services, Pllc clinic are as mentioned below.
| NPI Number: | 1083401616 |
| NPI Enumeration Date: | 24 Apr, 2025 |
| NPI Last Update On: | 11 Sep, 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 South Loop Dental Services, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1851685697 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | South Loop Dental Services, Pllc
Po Box 8144,
Houston, Texas |
| Zip: | 77288-8144 |
| Phone Number: | 713-398-5329 |
Patients can reach South Loop Dental Services, Pllc at
3577 Yellowstone Blvd, Houston, Texas or can
call to book an appointment on 713-398-5329.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.