Provider Demographics
NPI:1417078452
Name:BERING OMEGA COMMUNITY SERVICES
Entity Type:Organization
Organization Name:BERING OMEGA COMMUNITY SERVICES
Other - Org Name:BERING DENTAL CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:713-341-3777
Mailing Address - Street 1:PO BOX 540517
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77254-0517
Mailing Address - Country:US
Mailing Address - Phone:713-341-3777
Mailing Address - Fax:713-529-3626
Practice Address - Street 1:1427 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-3711
Practice Address - Country:US
Practice Address - Phone:713-341-3794
Practice Address - Fax:713-524-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13491261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental