Provider Demographics
NPI:1578684106
Name:VALENTINI, ALICIA P (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:P
Last Name:VALENTINI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2524
Mailing Address - Country:US
Mailing Address - Phone:281-974-4086
Mailing Address - Fax:713-588-1843
Practice Address - Street 1:650 HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2524
Practice Address - Country:US
Practice Address - Phone:281-974-4086
Practice Address - Fax:713-588-1843
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211181223P0300X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1479404-05Medicaid
TX1810392-03Medicaid
TX1479404-12Medicaid
TX1479404-07Medicaid
TX1479404-10Medicaid
TX1479404-08Medicaid
TX1479404-09Medicaid
TX1479404-01Medicaid
TX1479404-04Medicaid
TX1810392-05Medicaid
TX1479404-06Medicaid
TX1810392-01Medicaid
TX1479404-03Medicaid
TX1479404-11Medicaid
TX1810392-04Medicaid