Provider Demographics
NPI:1417214560
Name:ANABEL VEGA-NEGRON, DMD, PC
Entity Type:Organization
Organization Name:ANABEL VEGA-NEGRON, DMD, PC
Other - Org Name:CHILDREN'S DENTISTRY OF BAYTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA-NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-427-4736
Mailing Address - Street 1:4001 GARTH RD STE 104
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3100
Mailing Address - Country:US
Mailing Address - Phone:281-427-4736
Mailing Address - Fax:281-427-7127
Practice Address - Street 1:4001 GARTH RD STE 104
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3100
Practice Address - Country:US
Practice Address - Phone:281-427-4736
Practice Address - Fax:281-427-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty