Provider Demographics
NPI:1578632311
Name:S. VIC UHRENHOLDT DDS, PC
Entity Type:Organization
Organization Name:S. VIC UHRENHOLDT DDS, PC
Other - Org Name:S VIC UHRENHOLDT DDS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOREN
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:UHRENHOLDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-592-2991
Mailing Address - Street 1:212 EAST HOUSTON STREET
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327
Mailing Address - Country:US
Mailing Address - Phone:281-592-2991
Mailing Address - Fax:281-592-1245
Practice Address - Street 1:212 EAST HOUSTON STREET
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327
Practice Address - Country:US
Practice Address - Phone:281-592-2991
Practice Address - Fax:281-592-1245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty