Provider Demographics
NPI:1376928267
Name:SPRING KLEIN DENTAL SPECIALISTS
Entity Type:Organization
Organization Name:SPRING KLEIN DENTAL SPECIALISTS
Other - Org Name:SPRING KLEIN ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SARMIENTO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-709-0198
Mailing Address - Street 1:6078 FM 2920 RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2542
Mailing Address - Country:US
Mailing Address - Phone:832-709-0198
Mailing Address - Fax:832-827-4188
Practice Address - Street 1:6078 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2542
Practice Address - Country:US
Practice Address - Phone:832-709-0198
Practice Address - Fax:832-827-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308391223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty