Provider Demographics
NPI:1134283526
Name:AVILES, ALEXY F (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXY
Middle Name:F
Last Name:AVILES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 HILLCROFT ST
Mailing Address - Street 2:SUITE 353
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3856
Mailing Address - Country:US
Mailing Address - Phone:713-283-9776
Mailing Address - Fax:713-283-9790
Practice Address - Street 1:9660 HILLCROFT ST
Practice Address - Street 2:SUITE 353
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3856
Practice Address - Country:US
Practice Address - Phone:713-283-9776
Practice Address - Fax:713-283-9790
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX191651223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics