1790130789 NPI number — GULF COAST PEDIATRIC DENTAL SPECIALISTS PLLC

Table of content: (NPI 1790130789)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790130789 NPI number — GULF COAST PEDIATRIC DENTAL SPECIALISTS PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GULF COAST PEDIATRIC DENTAL SPECIALISTS PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790130789
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/27/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3121 BUFFALO SPEEDWAY APT 5307
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77098-1852
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-333-0909
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6318 FM 1488 RD STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAGNOLIA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77354-2519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-985-9075
Provider Business Practice Location Address Fax Number:
936-448-9862
Provider Enumeration Date:
04/27/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ATANDA
Authorized Official First Name:
OLAMIDE
Authorized Official Middle Name:
OSUNDOLU
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
352-333-0909

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  30734 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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