Provider Demographics
NPI:1558939579
Name:VENTURI HOLDINGS, PLLC
Entity Type:Organization
Organization Name:VENTURI HOLDINGS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DMD
Authorized Official - Prefix:
Authorized Official - First Name:KENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:THAHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-666-1775
Mailing Address - Street 1:3017 E RENNER RD STE 120
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3575
Mailing Address - Country:US
Mailing Address - Phone:972-644-9595
Mailing Address - Fax:
Practice Address - Street 1:3017 E RENNER RD STE 120
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-3575
Practice Address - Country:US
Practice Address - Phone:972-644-9595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty