Provider Demographics
NPI:1033260104
Name:UNIQUE DENTAL
Entity Type:Organization
Organization Name:UNIQUE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:NADERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-952-6161
Mailing Address - Street 1:9733 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3960
Mailing Address - Country:US
Mailing Address - Phone:713-952-6161
Mailing Address - Fax:713-952-9105
Practice Address - Street 1:9733 WESTHEIMER RD.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:713-952-6161
Practice Address - Fax:713-952-9105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty