Provider Demographics
NPI:1033718325
Name:DENTAL HEALTH SPECIALISTS
Entity Type:Organization
Organization Name:DENTAL HEALTH SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIREH
Authorized Official - Middle Name:
Authorized Official - Last Name:AWAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS, MS
Authorized Official - Phone:214-676-3001
Mailing Address - Street 1:PO BOX 29181
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-0181
Mailing Address - Country:US
Mailing Address - Phone:469-300-6664
Mailing Address - Fax:469-300-6664
Practice Address - Street 1:7965 CUSTER RD STE 114
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-3155
Practice Address - Country:US
Practice Address - Phone:469-300-6664
Practice Address - Fax:469-300-6664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty