Provider Demographics
NPI:1053629196
Name:ANCHOR DENTAL, P.C.
Entity Type:Organization
Organization Name:ANCHOR DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-619-5590
Mailing Address - Street 1:16603 ROSE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3685
Mailing Address - Country:US
Mailing Address - Phone:512-619-5590
Mailing Address - Fax:512-857-1076
Practice Address - Street 1:830 S MASON RD STE A6
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3863
Practice Address - Country:US
Practice Address - Phone:512-619-5590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental