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Active NPI 1467028951 Individual Practitioner Female Practitioner

Dr. Natania Stacy Tunggadjaja , DDS

Dentist - General Practice • Rosharon, TX

Professional Overview & Biography Verified Profile Summary

Dr. Natania Tunggadjaja, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rosharon, TX. Practice services are available at 3244 MERIDIANA PKWY STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3244 Meridiana Pkwy Ste 105

Rosharon, TX 775833385

Telephone 2819090202
Associated Practice Facility / Clinic
🏢 That's My Tooth Pllc Facility NPI 1518592831

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rosharon, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Rosharon, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 37684

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

6336 Telephone Rd

Houston, TX 770875410

Phone: 7139993527

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Chanica Veranunt , DDS

Dentist - Pediatric Dentistry

NPI 1043812332

Doctor of Dental Surgery

Dr. Charlene Veranunt , DDS

Dentist - General Practice

NPI 1174079289

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address February 08, 2023

Registered at 2828 OLD SPANISH TRL APT 409, HOUSTON, TX 770542256 (Tel: 7135696985)

📍
Updated Practice Location August 23, 2021

Registered at 3244 MERIDIANA PKWY STE 105, ROSHARON, TX 775833385 (Tel: 2819090202)

📍
Updated Business Mailing Address August 23, 2021

Registered at 2828 OLD SPANISH TRL APT 446, HOUSTON, TX 770542257 (Tel: 7135696985)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2021

Dentist (License #37684 in TX)

NPI Profile Active June 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2021

Registered at MSC08 4720 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052722321)

📍
Updated Business Mailing Address June 03, 2021

Registered at MSC AEGD 1 UNIVERSITY NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052722321)

👤
Provider Name / Credentials Updated June 03, 2021

Recorded as NATANIA TUNGGADJAJA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467028951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2021
Last Update: February 08, 2023
Sole Proprietor: Yes

Mailing Address

2828 Old Spanish Trl Apt 409

Houston, TX 770542256

Phone: 7135696985

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.