Mallory Weaver Lelak, DMD
Dentist · Kingwood, TX
Practice location
2325 Timber Shadows Dr Bldg aKingwood, TX 77339-2028
- Phone
- (281) 359-9100
NPI record
- NPI
- 1295409076
- Entity type
- Individual (Type 1)
- Enumeration date
- August 4, 2021
- Last updated
- April 25, 2022
- Certified
- April 25, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
37692 | TX |
| General Practice Dentistry | 1223G0001X |
DN122453 | GA |
About Dr. Lelak
Mallory Weaver Lelak, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2325 Timber Shadows Dr Bldg a, Kingwood, TX 77339-2028. The NPI number 1295409076 was assigned on August 4, 2021 and the record was last updated on April 25, 2022.
Dr. Lelak lists 2 licenses in the registry: #37692 (TX) for Dentist; #DN122453 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mallory Weaver Lelak, DMD?
The NPI number is 1295409076.
What is the phone number of Dr. Lelak?
The phone number listed for the practice location is (281) 359-9100.
Where is Dr. Lelak located?
2325 Timber Shadows Dr Bldg a, Kingwood, TX 77339-2028.
What is the taxonomy code for Dr. Lelak?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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