The Tooth Lodge

NPI #1356218804 in Spring, Texas

Provider Information

NPI Number: 1356218804
Entity Type: Organization
Organization Name: The Tooth Lodge
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 20, 2025
Last Updated: Oct 20, 2025

Practice Location

Address: 6820 FM 2920 STE 190
City: Spring
State: Texas
ZIP Code: 77379
Phone: (346) 298-7679

Authorized Official

Name: AFREEN ANSARI, DDS
Title: DENTIST
Phone: (346) 298-7679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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