Provider Demographics
NPI:1306375639
Name:USHEVA, KLAVDIYA GEORGIEVA (DMD)
Entity Type:Individual
Prefix:DR
First Name:KLAVDIYA
Middle Name:GEORGIEVA
Last Name:USHEVA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 HARVEST HILL CT
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5099
Mailing Address - Country:US
Mailing Address - Phone:832-798-8298
Mailing Address - Fax:
Practice Address - Street 1:419 W LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1342
Practice Address - Country:US
Practice Address - Phone:860-714-4995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33753122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist