Provider Demographics
NPI:1235532813
Name:CONNECT DENTAL SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:CONNECT DENTAL SPECIALISTS, PLLC
Other - Org Name:CONNECT DENTAL SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AURELIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-213-7721
Mailing Address - Street 1:2902 N SHEPHERD DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2296
Mailing Address - Country:US
Mailing Address - Phone:713-230-8350
Mailing Address - Fax:
Practice Address - Street 1:2902 N SHEPHERD DR UNIT C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2296
Practice Address - Country:US
Practice Address - Phone:713-230-8350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Single Specialty
No126900000XDental ProvidersDental Laboratory TechnicianGroup - Single Specialty