Time Square Dental Group

Time Square Dental Group is a healthcare organization registered as Periodontics in Pasadena, TX, holding Type 2 (organization) NPI 1225369077 since 2010. The authorized official on file is Razan Daccak, Owner.

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NPI	1225369077
Entity type	Organization (Type 2)
Legal business name	Time Square Dental Group
Practice address	4450 E SAM HOUSTON PKWY S, SUITE H2, Pasadena, TX, 77505
Phone	7139107779
Fax	7139107760
Enumeration date	2010-01-19
Last updated in NPPES	2010-01-19

Authorized official

Name	Razan Daccak
Title	Owner
Phone	7139107779

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223P0300X	Periodontics	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
190182901	Medicaid	TX	—

Copy-ready billing details

Provider: Time Square Dental Group
NPI: 1225369077
Taxonomy: 1223P0300X (Periodontics)
Address: 4450 E SAM HOUSTON PKWY S, SUITE H2, Pasadena, TX, 77505

Providers at this address

NPI	Name	Type	Specialty	Location
1285686485	Stephen Hakimi	Individual	Optometrist	Pasadena, TX
1154373942	Scott Segal	Individual	Ophthalmology Physician	Pasadena, TX
1780629840	Rukan Daccak	Individual	Gastroenterology Physician	Pasadena, TX
1679763213	Razan Daccak	Individual	General Practice Dentistry	Pasadena, TX
1245072776	Derek Ng	Individual	Optometrist	Pasadena, TX

Verify this record

Cross-check NPI 1225369077 against the authoritative CMS record: view Time Square Dental Group on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-01-19. Verify at npiregistry.cms.hhs.gov.

Where is Time Square Dental Group located?

The practice location on file with NPPES is in Pasadena, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-01-19.