Provider Demographics
NPI:1003076076
Name:TABARINI, ENRIQUE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:
Last Name:TABARINI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 COLLEGE PARK DR STE 150
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4192
Mailing Address - Country:US
Mailing Address - Phone:936-231-8568
Mailing Address - Fax:936-447-9738
Practice Address - Street 1:3117 COLLEGE PARK DR STE 150
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4192
Practice Address - Country:US
Practice Address - Phone:713-436-0148
Practice Address - Fax:713-436-0892
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237941223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery