Provider Demographics
NPI:1497776645
Name:CELESTINO, ARNEL P (DDS)
Entity Type:Individual
Prefix:
First Name:ARNEL
Middle Name:P
Last Name:CELESTINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 W OREM DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-1277
Mailing Address - Country:US
Mailing Address - Phone:713-944-6800
Mailing Address - Fax:832-962-7258
Practice Address - Street 1:5505 W OREM DR STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-1277
Practice Address - Country:US
Practice Address - Phone:713-944-6800
Practice Address - Fax:832-962-7258
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133309808Medicaid