Provider Demographics
NPI:1194829473
Name:UNIQUE DENTAL
Entity Type:Organization
Organization Name:UNIQUE DENTAL
Other - Org Name:UNIQUE DENTAL CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:NADERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-952-6161
Mailing Address - Street 1:9733 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043
Mailing Address - Country:US
Mailing Address - Phone:713-952-6161
Mailing Address - Fax:713-952-9105
Practice Address - Street 1:5438 NORTH FREEWAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076
Practice Address - Country:US
Practice Address - Phone:713-697-9100
Practice Address - Fax:713-697-9105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206301223G0001X
TX216801223G0001X
TX224931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty