Provider Demographics
NPI:1578250403
Name:AURELIUS FORTIS LLC
Entity Type:Organization
Organization Name:AURELIUS FORTIS LLC
Other - Org Name:WHOLE HEALTH DENTISTRY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-452-3377
Mailing Address - Street 1:3810 HIGHPINES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2900
Mailing Address - Country:US
Mailing Address - Phone:832-452-3377
Mailing Address - Fax:
Practice Address - Street 1:1806 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2678
Practice Address - Country:US
Practice Address - Phone:832-452-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No122300000XDental ProvidersDentistGroup - Single Specialty