Provider Demographics
NPI:1073844130
Name:S&S ALDINE DENTAL, PC
Entity Type:Organization
Organization Name:S&S ALDINE DENTAL, PC
Other - Org Name:ALDINE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SADAF
Authorized Official - Middle Name:
Authorized Official - Last Name:SIANATI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-260-7773
Mailing Address - Street 1:10407 NORTH FWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77037-1136
Mailing Address - Country:US
Mailing Address - Phone:281-260-7773
Mailing Address - Fax:
Practice Address - Street 1:10407 NORTH FWY
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1136
Practice Address - Country:US
Practice Address - Phone:281-260-7773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230961223G0001X
TX249151223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty