Provider Demographics
NPI:1104360130
Name:RHOME FAMILY DENTISTRY
Entity Type:Organization
Organization Name:RHOME FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUSSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:682-225-3196
Mailing Address - Street 1:105 NORTH HIGHWAY 287
Mailing Address - Street 2:SUITE B
Mailing Address - City:RHOME
Mailing Address - State:TX
Mailing Address - Zip Code:76078
Mailing Address - Country:US
Mailing Address - Phone:682-225-3196
Mailing Address - Fax:
Practice Address - Street 1:105 NORTH HIGHWAY 287
Practice Address - Street 2:SUITE B
Practice Address - City:RHOME
Practice Address - State:TX
Practice Address - Zip Code:76078
Practice Address - Country:US
Practice Address - Phone:682-225-3196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty