Provider Demographics
NPI:1497007397
Name:TEXAS HILL COUNTRY ENDODONTICS PLLC
Entity Type:Organization
Organization Name:TEXAS HILL COUNTRY ENDODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DINYARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-495-6710
Mailing Address - Street 1:1314 E SONTERRA BLVD
Mailing Address - Street 2:301
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4278
Mailing Address - Country:US
Mailing Address - Phone:210-495-6710
Mailing Address - Fax:210-490-8197
Practice Address - Street 1:1314 E SONTERRA BLVD
Practice Address - Street 2:301
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4278
Practice Address - Country:US
Practice Address - Phone:210-495-6710
Practice Address - Fax:210-490-8197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16180122300000X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty