Provider Demographics
NPI:1174404537
Name:GOOD NIGHT DDS PLLC
Entity type:Organization
Organization Name:GOOD NIGHT DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-989-4320
Mailing Address - Street 1:14911 POLLUX DR
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-5080
Mailing Address - Country:US
Mailing Address - Phone:281-989-4320
Mailing Address - Fax:281-292-2125
Practice Address - Street 1:2040 N LOOP 336 W STE 230
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3579
Practice Address - Country:US
Practice Address - Phone:832-770-4509
Practice Address - Fax:281-292-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty