Provider Demographics
NPI:1043471253
Name:CHIARA COMBS, DDS, P.A.
Entity Type:Organization
Organization Name:CHIARA COMBS, DDS, P.A.
Other - Org Name:IDEAL SMILES FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CHIARA
Authorized Official - Middle Name:RAI
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-270-9926
Mailing Address - Street 1:8201 S GESSNER DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7450
Mailing Address - Country:US
Mailing Address - Phone:713-270-9926
Mailing Address - Fax:713-270-9931
Practice Address - Street 1:8191 SOUTHWEST FWY
Practice Address - Street 2:SUITE 117
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1709
Practice Address - Country:US
Practice Address - Phone:713-270-9926
Practice Address - Fax:713-270-9931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty