Provider Demographics
NPI:1144568411
Name:PEARLAND ENDODONTICS
Entity Type:Organization
Organization Name:PEARLAND ENDODONTICS
Other - Org Name:SUGAR CREEK ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:IBRAHIM
Authorized Official - Last Name:HARHASH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MSC
Authorized Official - Phone:909-362-2728
Mailing Address - Street 1:56 SUGAR CREEK CENTER BLVD
Mailing Address - Street 2:SUITE 275
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4063
Mailing Address - Country:US
Mailing Address - Phone:281-201-2824
Mailing Address - Fax:281-201-8126
Practice Address - Street 1:56 SUGAR CREEK CENTER BLVD
Practice Address - Street 2:SUITE 275
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4063
Practice Address - Country:US
Practice Address - Phone:281-201-2824
Practice Address - Fax:281-201-8126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental