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Lake Jackson Family Dentistry Pllc

Dental Clinic/Center in Lake Jackson, TX · enumerated 2022 · authorized official Thomas Ellisor, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386351062

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Jackson Family Dentistry Pllc
Practice address 103 N Dixie Dr, Lake Jackson, TX, 77566
Phone (979) 297-6438
Enumeration date Nov 1, 2022
Last updated in NPPES Nov 1, 2022

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Thomas Ellisor
Title Owner
Phone (979) 297-6438

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.

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Frequently asked questions

Where is Lake Jackson Family Dentistry Pllc located?
The practice location on file with NPPES is in Lake Jackson, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-11-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-01.