Provider Demographics
NPI:1104966738
Name:AMERICARE DENTAL CENTER INC
Entity type:Organization
Organization Name:AMERICARE DENTAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HADY
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTAR-OLYAEE
Authorized Official - Suffix:
Authorized Official - Credentials:D D S
Authorized Official - Phone:713-455-5700
Mailing Address - Street 1:12450 EAST FWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-5534
Mailing Address - Country:US
Mailing Address - Phone:713-455-5700
Mailing Address - Fax:713-455-4945
Practice Address - Street 1:12450 EAST FWY
Practice Address - Street 2:SUITE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5534
Practice Address - Country:US
Practice Address - Phone:713-455-5700
Practice Address - Fax:713-455-4945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18110261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental