Provider Demographics
NPI:1003517608
Name:ORAL HEALTH AND SMILE DESIGN
Entity Type:Organization
Organization Name:ORAL HEALTH AND SMILE DESIGN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:713-824-1226
Mailing Address - Street 1:3400 S. GESSNER STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063
Mailing Address - Country:US
Mailing Address - Phone:713-824-1226
Mailing Address - Fax:
Practice Address - Street 1:3400 S. GESSNER STE. 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-7706
Practice Address - Country:US
Practice Address - Phone:713-824-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty