Provider Demographics
NPI:1316024714
Name:UTTAM DASGUPTA DDS INC
Entity Type:Organization
Organization Name:UTTAM DASGUPTA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:UTTAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DASGUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-778-9191
Mailing Address - Street 1:6065 HILLCROFT
Mailing Address - Street 2:SUITE NUMBER 201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1005
Mailing Address - Country:US
Mailing Address - Phone:713-778-9191
Mailing Address - Fax:713-778-9231
Practice Address - Street 1:6065 HILLCROFT
Practice Address - Street 2:SUITE NUMBER 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1005
Practice Address - Country:US
Practice Address - Phone:713-778-9191
Practice Address - Fax:713-778-9231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13605261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
D13605Medicare ID - Type Unspecified