NPI 1578449641 · live from the CMS NPI Registry
Aggieland Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in College Station, TX. National Provider Identifier 1578449641, active.
NPI record
| NPI | 1578449641 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2711 Texas Avenue South, Suite 100, College Station, TX 77840 |
| Practice phone | 832-483-2264 |
| Mailing address | 10010 Tumbling Trl, Mcgregor, TX 76657 |
| Enumerated | August 14, 2025 |
| Last updated | August 14, 2025 |
| Authorized official | Steven Machicek, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.