Provider Demographics
NPI:1437704772
Name:GEMS DENTAL
Entity Type:Organization
Organization Name:GEMS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ELIE
Authorized Official - Last Name:SALIBA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-536-6832
Mailing Address - Street 1:13303 CHAMPION FOREST DR STE 5
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2650
Mailing Address - Country:US
Mailing Address - Phone:281-444-1755
Mailing Address - Fax:281-444-1314
Practice Address - Street 1:13303 CHAMPION FOREST DR STE 5
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2650
Practice Address - Country:US
Practice Address - Phone:281-444-1755
Practice Address - Fax:281-444-1314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental