Provider Demographics
NPI:1851260814
Name:NEXTGEN DENTAL CENTER PA
Entity type:Organization
Organization Name:NEXTGEN DENTAL CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIANFEI
Authorized Official - Middle Name:
Authorized Official - Last Name:XUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-930-1122
Mailing Address - Street 1:6833 W SAM HOUSTON PKWY S STE 106
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5252
Mailing Address - Country:US
Mailing Address - Phone:713-930-1122
Mailing Address - Fax:713-832-3966
Practice Address - Street 1:6833 W SAM HOUSTON PKWY S STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5252
Practice Address - Country:US
Practice Address - Phone:713-930-1122
Practice Address - Fax:713-832-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty