Provider Demographics
NPI:1568703999
Name:ARTISTIC WORKS DENTISTRY, PLLC
Entity Type:Organization
Organization Name:ARTISTIC WORKS DENTISTRY, PLLC
Other - Org Name:ARTISTIC WORKS DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRESS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-515-6575
Mailing Address - Street 1:8412 KATY FWY # 450
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1950
Mailing Address - Country:US
Mailing Address - Phone:713-515-6575
Mailing Address - Fax:
Practice Address - Street 1:8412 KATY FWY # 450
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1950
Practice Address - Country:US
Practice Address - Phone:713-515-6575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty