Time Square Dental Group
Periodontology Clinic
4450 E Sam Houston Pkwy S, Suite H2, Pasadena
Texas, 77505-3950
713-910-7779 713-910-7760
Maps & DirectionsTime Square Dental Group is a Periodontology Clinic in Pasadena, Texas. It is located at 4450 E Sam Houston Pkwy S, Suite H2, Pasadena, TX and its contact number is 713-910-7779. The authorized person for Time Square Dental Group is Dr. Razan Daccak
who is Owner of the clinic and their contact number is 713-910-7779.
Time Square Dental Group Clinic is specialized in that branch 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 these structures and tissues.
Complete Clinic Profile:
Time Square Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Time Square Dental Group |
| Specialization: | Periodontology |
| Clinic Address: | 4450 E Sam Houston Pkwy S, Suite H2, Pasadena, Texas, 77505-3950 |
| Phone: | 713-910-7779 |
| Fax: | 713-910-7760 |
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: | Dr. Razan Daccak |
| Position: | Owner |
| Contact Number: | 713-910-7779 |
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 Time Square Dental Group clinic are as mentioned below.
| NPI Number: | 1225369077 |
| NPI Enumeration Date: | 19 Jan, 2010 |
| NPI Last Update On: | 19 Jan, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Time Square Dental Group are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | | | 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 |
| 190182901 | 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: | Time Square Dental Group Po Box 460182, Houston, Texas |
| Zip: | 77056-8182 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Time Square Dental Group at
4450 E Sam Houston Pkwy S, Suite H2, Pasadena, Texas or can
call to book an appointment on 713-910-7779.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.