Provider Demographics
NPI:1346589561
Name:SPRING ENDODONTICS
Entity Type:Organization
Organization Name:SPRING ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHIWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD,MS,PHD
Authorized Official - Phone:713-806-0264
Mailing Address - Street 1:525 SAWDUST RD # 107
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2385
Mailing Address - Country:US
Mailing Address - Phone:281-203-0503
Mailing Address - Fax:281-203-0563
Practice Address - Street 1:525 SAWDUST RD # 107
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2385
Practice Address - Country:US
Practice Address - Phone:281-203-0503
Practice Address - Fax:281-203-0563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty