Provider Demographics
NPI:1437683885
Name:ACE ENDODONTICS CYPRESS PLLC
Entity Type:Organization
Organization Name:ACE ENDODONTICS CYPRESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-886-8792
Mailing Address - Street 1:14520 CYPRESS MILL PLACE BLVD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429
Mailing Address - Country:US
Mailing Address - Phone:281-886-8792
Mailing Address - Fax:281-886-8795
Practice Address - Street 1:14520 CYPRESS MILL PLACE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1199
Practice Address - Country:US
Practice Address - Phone:281-886-8792
Practice Address - Fax:281-886-8795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX185181223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty