Provider Demographics
NPI:1619534435
Name:EMERALD DENTAL MANAGEMENT, PA
Entity Type:Organization
Organization Name:EMERALD DENTAL MANAGEMENT, PA
Other - Org Name:CHLOE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANGLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-800-2019
Mailing Address - Street 1:PO BOX 5805
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-5805
Mailing Address - Country:US
Mailing Address - Phone:281-800-2019
Mailing Address - Fax:
Practice Address - Street 1:2445 ELDRIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5255
Practice Address - Country:US
Practice Address - Phone:281-800-2019
Practice Address - Fax:281-603-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty