| Good Night DDS PLLC | |
|
2040 N Loop 336 W Ste 230 Conroe TX 77304-3579 | |
| (832) 770-4509 | |
| (281) 292-2125 |
| Full Name | Good Night DDS PLLC |
|---|---|
| Speciality | Dentist |
| Location | 2040 N Loop 336 W Ste 230, Conroe, Texas |
| Authorized Official Name and Position | Kelly M Leblanc (PRESIDENT) |
| Authorized Official Contact | 2819894320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Night DDS PLLC 14911 Pollux Dr Willis TX 77318-5080 Ph: (281) 989-4320 | Good Night DDS PLLC 2040 N Loop 336 W Ste 230 Conroe TX 77304-3579 Ph: (832) 770-4509 |
| NPI Number | 1174404537 |
|---|---|
| Provider Enumeration Date | 09/10/2025 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Medicare PECOS PAC ID | 1355838186 |
|---|---|
| Medicare Enrollment ID | O20251015003096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174404537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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