Provider Demographics
NPI:1578332086
Name:ACE ENDODONTICS SPRING PLLC
Entity Type:Organization
Organization Name:ACE ENDODONTICS SPRING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAHRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUM MALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-268-0801
Mailing Address - Street 1:19427 CHAMPION FOREST DR STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8936
Mailing Address - Country:US
Mailing Address - Phone:281-430-0015
Mailing Address - Fax:281-430-0019
Practice Address - Street 1:19427 CHAMPION FOREST DR STE A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8936
Practice Address - Country:US
Practice Address - Phone:281-430-0015
Practice Address - Fax:281-430-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty